KATHY WILSON M.D.
NPI 1245490721
Obstetrics & Gynecology in Long Beach, CA

NPI Status: Active since June 10, 2008

Contact Information

2683 PACIFIC AVE
LONG BEACH, CA
ZIP 90806
Phone: (323) 404-4884

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  • Individual
  • Female
  • Years of Experience 19
  • Obstetrics & Gynecology
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About KATHY WILSON

This page provides the complete NPI Profile along with additional information for Kathy Wilson, a women's health care provider established in Long Beach, California with a medical specialization in Obstetrics & Gynecology and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1245490721 assigned on June 2008. The practitioner's primary taxonomy code is 207V00000X with license number A119319 (CA). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1245490721
Provider Name
KATHY WILSON M.D.
Gender
Female
Entity Type
Individual
Location Address
2683 PACIFIC AVE LONG BEACH, CA 90806
Location Phone
(323) 404-4884
Mailing Address
2683 PACIFIC AVE SUITE A LONG BEACH, CA 90806
Mailing Phone
(323) 404-4884
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
06-10-2008
Last Update Date
01-14-2016
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Women's health care providers like Kathy Wilson treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
A119319
License State
CA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
808130MEDICAID (05)CA 

Medicare Participation & PECOS Enrollment Status

Kathy Wilson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Kathy Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5496903957

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120907000458

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90806 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $142.39
  • Minimum New Patient Price $62.96
  • Maximum New Patient Price $187.6
  • Average New Patient Copayment $35.59
  • Minimum New Patient Copayment $15.74
  • Maximum New Patient Copayment $46.9

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $77.96
  • Minimum Established Patient Price $20.84
  • Maximum Established Patient Price $153.61
  • Average Established Patient Copayment $19.49
  • Minimum Established Patient Copayment $5.21
  • Maximum Established Patient Copayment $38.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for KATHY WILSON M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245490721
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228589074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 8 + 9 + 0 + 7 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1245490721 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

EMILY J CUTLER RD

Dietitian, Registered

2683 PACIFIC AVE
PACIFIC FAMILY HEALTH CLINIC
LONG BEACH, CA
ZIP 90806

(562) 997-2491

RAVIJOT GILL

Family Medicine

2683 PACIFIC AVE
LONG BEACH, CA
ZIP 90806

(562) 230-6424

ANDREA NICHELLE YOUNG D.O.

Family Medicine

2683 PACIFIC AVE
LONG BEACH, CA
ZIP 90806

(562) 997-2350

DR. JENNIFER LEIGH ZWEIG DO

Family Medicine

2683 PACIFIC AVE
LONG BEACH, CA
ZIP 90806

(562) 997-2350

DR. MAYRA CONTRERAS M.D.

Obstetrics & Gynecology

2683 PACIFIC AVE
SUITE A
LONG BEACH, CA
ZIP 90806

(562) 989-5722

JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA

Family Medicine

2683 PACIFIC AVE
LONG BEACH, CA
ZIP 90806

(562) 997-2350

DR. SEUNG YI CHANG MD

Pain Medicine

(Pain Medicine)

2683 PACIFIC AVE
LONG BEACH, CA
ZIP 90806

(833) 476-7377

DINAH ALEGRE GARCIA D.O.

Family Medicine

2683 PACIFIC AVE
LONG BEACH, CA
ZIP 90806

(562) 305-4883

DR. MEGAN LEE VELAZQUEZ GONZALEZ DO

Family Medicine

2683 PACIFIC AVE
LONG BEACH, CA
ZIP 90806

(562) 997-2000

SL HEALTH INC

Obstetrics & Gynecology

2683 PACIFIC AVE
SUITE A
LONG BEACH, CA
ZIP 90806

(562) 989-5722

AIMEE L RIVERS M.D.

Obstetrics & Gynecology

2683 PACIFIC AVE
SUITE A
LONG BEACH, CA
ZIP 90806

(562) 989-5722

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245490721, enumerated as an "individual" on June 10, 2008.

The provider is located at 2683 PACIFIC AVE LONG BEACH, CA 90806 and the phone number is (323) 404-4884.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.