Jill Mallory Fadal Wilson, MD - Medicare Radiology in Park City, UT

Jill Mallory Fadal Wilson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Park City, Utah. Her current practice location is 1389 Center Dr Ste 200, Park City, Utah. You can reach out to her office (for appointments etc.) via phone at (970) 484-4757.

Jill Mallory Fadal Wilson is licensed to practice in Utah (license number 10964555-1205) 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 1275928897.

Contact Information

Jill Mallory Fadal Wilson, MD
1389 Center Dr Ste 200,
Park City, UT 84098-7660
(970) 484-4757
(970) 484-4759



Physician's Profile

Full NameJill Mallory Fadal Wilson
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location1389 Center Dr Ste 200, Park City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275928897
  • Provider Enumeration Date: 03/31/2015
  • Last Update Date: 03/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4587918586
  • Enrollment ID: I20230807001252

Medical Identifiers

Medical identifiers for Jill Mallory Fadal Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275928897NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 15751A (Wyoming)Secondary
2085R0202XRadiology - Diagnostic Radiology DR.0070579 (Colorado)Secondary
2085R0202XRadiology - Diagnostic Radiology 10964555-1205 (Utah)Primary
2085R0202XRadiology - Diagnostic Radiology 35561 (Nebraska)Secondary

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. Jill Mallory Fadal Wilson allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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Entity NameFort Collins Radiologic Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003849498
PECOS PAC ID: 7315844396
Enrollment ID: O20230807000949

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Systemic inflammation may contribute to depressive symptoms

New research published in the April issue of The Journal of Nuclear Medicine reveals that systemic inflammation causes an increase in depressive symptoms and metabolic changes in the parts of the brain responsible for mood and motivation. With this finding, researchers can begin to test potential treatments for depression for patients that experience symptoms that are related to inflammation in the body or within the brain.

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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. Jill Mallory Fadal 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
Jill Mallory Fadal Wilson, MD
2008 Caribou Dr,
Fort Collins, CO 80525-4325

Ph: (970) 484-4757
Jill Mallory Fadal Wilson, MD
1389 Center Dr Ste 200,
Park City, UT 84098-7660

Ph: (970) 484-4757

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John D. Groopman, Ph.D., has been selected to receive the 2010 American Association for Cancer Research-Prevent Cancer Foundation Award for Excellence in Cancer Prevention Research

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In a major scientific breakthrough, a drug used to treat Parkinson's and related diseases may be able to delay or prevent macular degeneration, the most common form of blindness among older Americans.

COBRA, jobs bill in further jeopardy after death of Sen. Byrd

Roll Call: The death of Sen. Robert Byrd, D-W. Va., has jeopardized further the passage of some bills in Congress, including a bill that would extend unemployment benefits. "Democratic leaders have been thwarted numerous times in recent weeks on jobs legislation, despite scaling down the measure dramatically after Republicans and some moderate Democrats balked at adding to the deficit.

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New research published in the April issue of The Journal of Nuclear Medicine reveals that systemic inflammation causes an increase in depressive symptoms and metabolic changes in the parts of the brain responsible for mood and motivation. With this finding, researchers can begin to test potential treatments for depression for patients that experience symptoms that are related to inflammation in the body or within the brain.

Read more News

› Verified 6 days ago


Radiology Doctors in Park City, UT

William Randall Compton, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2531 Aspen Springs Dr, Park City, UT 84060
Phone: 435-615-9307    
John Manuel Arias, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 9010 Saddleback Rd, Park City, UT 84098
Phone: 952-595-1100    Fax: 952-942-3361

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