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DR. ELINE HAENEBALCKE WILSON MD
NPI 1174730444
Obstetrics & Gynecology in Detroit, MI

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
3750 WOODWARD AVE, STE 200C, DETROIT, MI 48201(313) 993-4645(313) 993-4654 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Eline Haenebalcke Wilson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELINE HAENEBALCKE WILSON MD (NPI 1174730444) is an individual obstetrics & gynecology provider in Detroit, Michigan, licensed in Michigan (4301100277) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1174730444
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ELINE HAENEBALCKE WILSONCredential: MD
Location Address3750 WOODWARD AVE, STE 200CDetroit, MI 48201-2007
Mailing Address1420 Stephenson Hwy, Suite 400-credentialingTroy, MI 48083-1189 · (248) 581-5970 · Fax (248) 581-5640
Phone(313) 993-4645
Fax(313) 993-4654
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 17, 2007
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
✔ NPI 1174730444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MI · 4301100277✔ Licensed in CA · A116814
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3750 WOODWARD AVE, Detroit, MI 48201
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Other Names 1

Former Name (1)Eline Haenebalcke Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eline Haenebalcke Wilson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143493445
PECOS Enrollment IDI20111102000337
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID BRYANT JR. MD
Obstetrics & Gynecology
3750 WOODWARD AVE, SUITE 200C
DETROIT, MI 48201
Wayne County (313) 993-4645
TRESSA LYNNE ORTHMEYER M.S., C.G.C.
Genetic Counselor, MS
3750 WOODWARD AVE, SUITE 200
DETROIT, MI 48201
Wayne County (313) 993-4433
ANGELA CHIODO CNM
Advanced Practice Midwife
3750 WOODWARD AVE, SUITE 200C
DETROIT, MI 48201
Wayne County (313) 993-4645
DR. JIMMY BELOTTE MD
Obstetrics & Gynecology
3750 WOODWARD AVE, STE 200C
DETROIT, MI 48201
Wayne County (313) 993-4645
UNIVERSITY WOMEN'S CARE
Advanced Practice Midwife
3750 WOODWARD AVE, SUITE 200-C
DETROIT, MI 48201
Wayne County (313) 993-4645
NEIL SIMMERMAN MD
Obstetrics & Gynecology
3750 WOODWARD AVE, STE 200C
DETROIT, MI 48201
Wayne County (313) 993-4645
JENNIFER M YEAMANS CNM
Advanced Practice Midwife
3750 WOODWARD AVE, STE 200C
DETROIT, MI 48201
Wayne County (313) 993-4645
UNIVERSITY WOMEN'S CARE
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3750 WOODWARD AVE, SUITE 200-C
DETROIT, MI 48201
Wayne County (313) 993-4645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eline Wilson's NPI number?

The NPI number for Eline Wilson is 1174730444. It was assigned to this individual provider in the NPPES registry on May 17, 2007. The provider is also known as Eline Haenebalcke MD.

Where is Eline Wilson located?

Eline Wilson practices at 3750 Woodward Ave Ste 200C, Detroit, MI 48201. The listed phone number is (313) 993-4645.

What is Eline Wilson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Eline Wilson enrolled in Medicare?

Yes. Eline Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eline Wilson was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.