Diane C Wilson, PHD - Medicare Psychologist in Farmington, CT

Diane C Wilson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Farmington, Connecticut. Her current practice location is 270 Farmington Ave Ste 328, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (866) 887-6864.

Diane C Wilson is licensed to practice in Connecticut (license number 003371) 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 1497314264.

Contact Information

Diane C Wilson, PHD
270 Farmington Ave Ste 328,
Farmington, CT 06032-1909
(866) 887-6864
Not Available



Healthcare Provider's Profile

Full NameDiane C Wilson
GenderFemale
SpecialityPsychologist - Clinical
Location270 Farmington Ave Ste 328, Farmington, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497314264
  • Provider Enumeration Date: 06/06/2019
  • Last Update Date: 09/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4880026293
  • Enrollment ID: I20191122000792

Medical Identifiers

Medical identifiers for Diane C Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497314264NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 003371 (Connecticut)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. Diane C Wilson allows following entities to bill medicare on her behalf.
Entity NameAdvanced Treatment Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225577331
PECOS PAC ID: 0143652628
Enrollment ID: O20191121002295

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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. Diane C 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
Diane C Wilson, PHD
270 Farmington Ave Ste 328,
Farmington, CT 06032-1909

Ph: (866) 887-6864
Diane C Wilson, PHD
270 Farmington Ave Ste 328,
Farmington, CT 06032-1909

Ph: (866) 887-6864

News Archive

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Psychologist in Farmington, CT

Mary Casey Jacob, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 263 Farmington Ave, Farmington, CT 06030
Phone: 860-679-4550    Fax: 860-679-1845
Julian Ford, PHD
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Medicare: Accepting Medicare Assignments
Practice Location: 10 Talcott Notch Rd, Farmington, CT 06032
Phone: 860-679-6700    Fax: 860-679-6736
Dr. Cynthia Lynn Nye, PH.D.
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Practice Location: 270 Farmington Ave, Ste 309, Farmington, CT 06032
Phone: 860-677-5570    
Carla L Corcione, PHD
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Medicare: Accepting Medicare Assignments
Practice Location: 270 Farmington Ave, Suite 309, Farmington, CT 06032
Phone: 860-677-5570    Fax: 860-677-9570
Dr. Nicole Sirrine Marshall, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 10 Forest Park Dr, Farmington, CT 06032
Phone: 860-269-7813    Fax: 860-269-8621
Dr. Sandra Scantling, PSY.D., APRN
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Medicare: Not Enrolled in Medicare
Practice Location: 778 Farmington Ave, Farmington, CT 06032
Phone: 860-677-1910    
Adrienne Vyse Miscimarra, PSY.D.
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