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MARY THERESE WILSON M.D.
NPI 1720126766
Psychiatry & Neurology - Psychiatry in Sagamore Beach, MA

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
114 STATE RD, SAGAMORE BEACH, MA 02562(801) 678-3317 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Therese Wilson M.d. NPPES

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

MARY THERESE WILSON M.D. (NPI 1720126766) is an individual psychiatry provider in Sagamore Beach, Massachusetts, licensed in Massachusetts (52951) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buzzards Bay, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1720126766
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMARY THERESE WILSONCredential: M.D.
Location Address114 STATE RDSagamore Beach, MA 02562-2317
Mailing Address114 State RdSagamore Beach, MA 02562-2317 · (801) 678-3317
Phone(801) 678-3317
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1720126766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 52951
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
114 STATE RD, Sagamore Beach, MA 02562
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Secondary Practice Location 1

Location 1258 Main St Ste C3Buzzards Bay, MA 02532-3253 · Phone (508) 333-1375

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

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

Mary Therese Wilson M.d. 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 ID8729141619
PECOS Enrollment IDI20090121000169
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 02562 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 2

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

CAROLYN EMOND
Counselor (Mental Health)
114 STATE RD
SAGAMORE BEACH, MA 02562
Barnstable County (508) 333-1375
SAGAMORE COUNSELING
Counselor (Professional)
114 STATE RD
SAGAMORE BEACH, MA 02562
Barnstable County (508) 333-1375

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 Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1720126766. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Mary Wilson located?

Mary Wilson practices at 114 State Rd, Sagamore Beach, MA 02562. The listed phone number is (801) 678-3317.

What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mary Wilson enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Mary Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.