Mr William Henry Wilson Iv, MD in Coon Rapids, MN - Medicare Preventive Medicine

Mr William Henry Wilson Iv, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Coon Rapids, Minnesota. His current practice location is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 780-9155.

Mr William Henry Wilson Iv is licensed to practice in Minnesota (license number 62362) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801239892.

Contact Information

	Mr William Henry Wilson Iv, MD
	9055 Springbrook Dr Nw, Coon Rapids, MN 55433
	(763) 780-9155
	Not Available

Physician's Profile

Full Name	Mr William Henry Wilson Iv
Gender	Male
Speciality	Preventive Medicine - Preventive Medicine/occupational Environmental Medicine
Location	9055 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801239892
Provider Enumeration Date: 04/09/2013
Last Update Date: 06/24/2019

Medicare PECOS Information:

PECOS PAC ID: 4880823152
Enrollment ID: I20190731000508

Medical Identifiers

Medical identifiers for Mr William Henry Wilson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801239892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0500X	Preventive Medicine - Preventive Medicine/occupational Environmental Medicine	62362 (Minnesota)	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. Mr William Henry Wilson Iv allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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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. Mr William Henry Wilson Iv 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
Mr William Henry Wilson Iv, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	Mr William Henry Wilson Iv, MD 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Ph: (763) 780-9155

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Preventive Medicine Doctors in Coon Rapids, MN

Isabel Pereira, D.O. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Chang-jiang Zheng, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Dr. Jeffrey David Meyer, M.D., M.P.H. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066
Phillip C Hoversten, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Dr. David L. Drury, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Olaniyi O Kuku, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155

Mr William Henry Wilson Iv, MD - Medicare Preventive Medicine in Coon Rapids, MN

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Preventive Medicine Doctors in Coon Rapids, MN