Stephanie Denise Wilson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in San Francisco, California. Her current practice location is
601 Duboce Ave Ste 250, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 600-5959.
Stephanie Denise Wilson is licensed to practice in California (license number 965999) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851596498.
Healthcare Provider's Profile
| Full Name | Stephanie Denise Wilson |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 601 Duboce Ave Ste 250, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851596498
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 12/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294028882
- Enrollment ID: I20160719002494
Medical Identifiers
Medical identifiers for Stephanie Denise Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851596498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TF0200X | Psychologist - Forensic | 965999 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 965999 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Denise Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Sutter Bay Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Denise Wilson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Stephanie Denise Wilson, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (415) 600-5959 | Stephanie Denise Wilson, MD 601 Duboce Ave Ste 250, San Francisco, CA 94117-3389 Ph: (415) 600-5959 |
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