Justin O Wilson, AUD - Medicare Audiologist in La Crosse, WI

Justin O Wilson, AUD is a medicare enrolled "Audiologist" provider in La Crosse, Wisconsin. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Gundersen Lutheran Medical Center Inc, Gundersen Clinic Ltd and his current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Justin O Wilson is licensed to practice in Wisconsin (license number 1077) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962492405.

Contact Information

Justin O Wilson, AUD
1836 South Ave,
La Crosse, WI 54601-5429
(608) 782-7300
Not Available



Healthcare Provider's Profile

Full NameJustin O Wilson
GenderMale
SpecialityQualified Audiologist
Experience21 Years
Location1836 South Ave, La Crosse, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin O Wilson graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1962492405
  • Provider Enumeration Date: 10/26/2005
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7315078060
  • Enrollment ID: I20100624000805

Medical Identifiers

Medical identifiers for Justin O Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962492405NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 394 (Iowa)Secondary
237700000XHearing Instrument Specialist 754 (Iowa)Secondary
231H00000XAudiologist 1077 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gundersen Lutheran Medical CenterLa crosse, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gundersen Lutheran Medical Center Inc2163331414800
Gundersen Clinic Ltd9638082779359

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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. Justin O Wilson allows following entities to bill medicare on his behalf.
Provider NameGundersen Clinic Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139

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Provider NameGundersen Lutheran Medical Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

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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. Justin O 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 AddressPractice Location Address
Justin O Wilson, AUD
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300
Justin O Wilson, AUD
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300

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Audiologist in La Crosse, WI

Alyssa Wciorka,
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 4000 State Road 16, La Crosse, WI 54601
Phone: 608-784-3886    
Andrea R Maliszewski, AUD
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Brandi L. Henning, AUD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 800 West Avenue S., La Crosse, WI 54601
Phone: 608-392-9888    Fax: 563-584-3395
Harry J Peterson, MA
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Michael A Schultz, AUD
Audiologist
Medicare: Medicare Enrolled
Practice Location: 800 West Ave S, La Crosse, WI 54601
Phone: 608-392-9888    Fax: 608-392-4192
Dr. Angela Shafer Manke, AUDIOLOGIST
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    Fax: 608-775-6226
David E Palm, PHD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    

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