Elizabeth Wilson, MD - Specialist in East Hartford, CT

Elizabeth Wilson, MD is a Specialist physician based in East Hartford, Connecticut. Elizabeth Wilson is licensed to practice in Massachusetts (license number 55002) and her current practice location is 111 Founders Plz Ste 400, East Hartford, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 289-3375.

NPI number for Elizabeth Wilson is 1992791487 and her current mailing address is 111 Founders Plz Ste 400, East Hartford, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992791487.

Contact Information

Elizabeth Wilson, MD
111 Founders Plz Ste 400,
East Hartford, CT 06108-3240
(860) 289-3375
Not Available



Physician's Profile

Full NameElizabeth Wilson
GenderFemale
SpecialitySpecialist
Location111 Founders Plz Ste 400, East Hartford, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992791487
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 04/17/2020

Medical Identifiers

Medical identifiers for Elizabeth Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992791487NPI-NPPES
3056520MedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0700XRadiology - Neuroradiology 55002 (Massachusetts)Secondary
2085P0229XRadiology - Pediatric Radiology 55002 (Massachusetts)Secondary
174400000XSpecialist 55002 (Massachusetts)Primary
2085R0202XRadiology - Diagnostic Radiology 55002 (Massachusetts)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 55002 (Massachusetts)Secondary
2085U0001XRadiology - Diagnostic Ultrasound 55002 (Massachusetts)Secondary

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. Elizabeth Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elizabeth Wilson, MD
111 Founders Plz Ste 400,
East Hartford, CT 06108-3240

Ph: (860) 289-3375
Elizabeth Wilson, MD
111 Founders Plz Ste 400,
East Hartford, CT 06108-3240

Ph: (860) 289-3375

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