Kristal Lee Ann Wilson, MD - Medicare Interventional Pain Management in Louisville, KY

Kristal Lee Ann Wilson, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Louisville, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Interventional Pain Management. Her current practice location is 10302 Brookridge Village Blvd Ste 103-104, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 276-5300.

Kristal Lee Ann Wilson is licensed to practice in Kentucky (license number 48792) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578853602.

Contact Information

Kristal Lee Ann Wilson, MD
10302 Brookridge Village Blvd Ste 103-104,
Louisville, KY 40291-4475
(502) 276-5300
(502) 576-5376



Physician's Profile

Full NameKristal Lee Ann Wilson
GenderFemale
SpecialityInterventional Pain Management
Experience13 Years
Location10302 Brookridge Village Blvd Ste 103-104, Louisville, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristal Lee Ann Wilson attended and graduated from University Of Louisville School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1578853602
  • Provider Enumeration Date: 04/11/2011
  • Last Update Date: 10/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830403161
  • Enrollment ID: I20160810002831

Medical Identifiers

Medical identifiers for Kristal Lee Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578853602NPI-NPPES
7100212070MedicaidKY
201298810MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 01084557A (Indiana)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine 48792 (Kentucky)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. Kristal Lee Ann Wilson allows following entities to bill medicare on her behalf.
Entity NameInterventional Pain & Spine Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861182198
PECOS PAC ID: 4981036118
Enrollment ID: O20191108002414

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Entity NamePain And Wellness Institute Of Kentucky Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336878909
PECOS PAC ID: 4880050418
Enrollment ID: O20230523003227

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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. Kristal Lee Ann 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
Kristal Lee Ann Wilson, MD
10302 Brookridge Village Blvd Ste 103-104,
Louisville, KY 40291-4475

Ph: (502) 576-5300
Kristal Lee Ann Wilson, MD
10302 Brookridge Village Blvd Ste 103-104,
Louisville, KY 40291-4475

Ph: (502) 276-5300

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Pain Medicine Doctors in Louisville, KY

Dr. Kevin Carter Andres, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6801 Dixie Hwy Ste 135, Louisville, KY 40258
Phone: 502-791-8700    
Amy Lee Delk, APRN
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 312 S 4th St Ste 700, Louisville, KY 40202
Phone: 502-804-5495    Fax: 833-563-1715
Lady Christine Lim Ong Sio, MD
Pain Medicine
Medicare: Medicare Enrolled
Practice Location: 1900 Bluegrass Ave Ste 300, Louisville, KY 40215
Phone: 502-815-7336    Fax: 502-815-7337
Brigid M Buckman, ARNP
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Eastpoint Pkwy, Suite 410, Louisville, KY 40223
Phone: 502-253-6625    Fax: 502-253-6629
Ricky Stanley Collis, MD
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 315 E Broadway, Suite 250, Louisville, KY 40202
Phone: 502-589-4765    Fax: 502-589-4799
Konrad Kijewski, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4130 Dutchmans Ln Ste 200, Louisville, KY 40207
Phone: 502-897-1794    Fax: 502-897-3852
Mr. Bill Walker Haney, MD
Pain Medicine
Medicare: Medicare Enrolled
Practice Location: 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205
Phone: 502-708-9880    Fax: 502-708-6911

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