Thomas Wilson Psychotherapy, Llc - Medicare Mental Health Clinic in Orlando, FL

Thomas Wilson Psychotherapy, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Orlando, Florida. The current practice location for Thomas Wilson Psychotherapy, Llc is 4700 Millenia Blvd Ste 500, Orlando, Florida. For appointments, you can reach them via phone at (970) 930-1264. The mailing address for Thomas Wilson Psychotherapy, Llc is 4700 Millenia Blvd Ste 500, Orlando, Florida and phone number is (970) 930-1264.

Thomas Wilson Psychotherapy, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003402892. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (970) 930-1264.

Contact Information

Thomas Wilson Psychotherapy, Llc
4700 Millenia Blvd Ste 500
Orlando
FL 32839-6019
(970) 930-1264
(970) 431-2327

Mental Health Clinic Profile

Full NameThomas Wilson Psychotherapy, Llc
SpecialitySocial Worker
Location4700 Millenia Blvd Ste 500, Orlando, Florida
Authorized Official Name and PositionThomas Warren Wilson (OWNER)
Authorized Official Contact9709301264
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas Wilson Psychotherapy, Llc
4700 Millenia Blvd Ste 500
Orlando
FL 32839-6019

Ph: (970) 930-1264
Thomas Wilson Psychotherapy, Llc
4700 Millenia Blvd Ste 500
Orlando
FL 32839-6019

Ph: (970) 930-1264

NPI Details:

NPI Number1003402892
Provider Enumeration Date12/15/2020
Last Update Date08/11/2023
Certification Date08/11/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8527470335
Medicare Enrollment IDO20201221001530

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Medical Identifiers

Medical identifiers for Thomas Wilson Psychotherapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003402892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Thomas Wilson Psychotherapy, Llc acts as a billing entity for following providers:
Provider NameThomas Wilson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992218374
PECOS PAC ID: 9830443803
Enrollment ID: I20181109000600

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