Dr. Rebecca Wilhelm is a naturopathic doctor and licensed acupuncturist.    Her colleague Carrie Wine ND is a naturopathic doctor and Lilly Demers L.Ac. is a licensed acupuncturist. 

Both Dr Wine and Dr Wilhelm practice specialty naturopathic family medicine, which mixes a blend of conventional approaches with an alternative perspective on health and healing.  Diet therapies, exercise recommendations, herbal or vitamin therapies, and acupuncture will be recommended before prescription medication when appropriate.  Treatment approaches are based on patients’ individual needs, not a “one size fits all” perspective.  Special interests of our practice include digestive health/ gastroenterology, hormone balance (including female hormones, thyroid, and adrenal), herbs and nutrition, and the integration of Western and naturopathic medicine.

We are sorry, but we are not taking new naturopathic patients at this time.    After deep contemplation, we have decided to change the practice to an acupuncture only clinic starting 9/3/2024. This is due to changes in insurance policies and re-imbursement, office staffing, and escalating costs and stressors of running a medical practice. Sadly, Dr. Wine will be leaving the practice at this time. She has been a wonderful doctor and colleague and we are thankful that we’ve gotten to work together for the last 5 years. We both would like to express our deepest gratitude for our patients and to thank them for letting us be part of their health care team over the years.  

We are accepting new acupuncture patients and will book these patients about 2-8 weeks ahead depending on availability.     

If you are using your insurance, and unable to schedule with us because we are not taking new patients, please see who else is listed as a contracted provider with your insurance.  You can call that provider directly to try to establish elsewhere.  At this time, we do not have a specific recommendation on where non-established patients should go for care.

COVID and RESPIRATORY ILLNESS updates:  Spring 2024

We see patients in the office and by telehealth.  Masks are required only if you have respiratory symptoms such as cough, runny or stuffy nose, congestion, or sore throat or fever.   Please call our office to arrange a telehealth visit or appropriate care.   If you have been exposed to a confirmed case of Covid 19 in the prior 2 weeks, please wear a mask in office or continue to quarantine and we will arrange telemedicine.  If you simply prefer to be seen at home instead of coming to our office for other concerns, we are happy to arrange this.  It is appropriate for many types of visits.  

TELEMEDICINE

If you have an upcoming appointment with us by telemedicine and are having a hard time finding the links, they are always the same each time.  Go to this website link a few minutes before the time of your virtual appointment according to which doctor you are seeing. Follow the prompts to enter your name and allow access to your speaker and camera. :

Dr. Rebecca Wilhelm:  https://doxy.me/drwilhelmandassociates 

Dr. Carrie Wine: https://doxy.me/drwine

Services   

Please note:   We will stop providing the below naturopathic medical services in 9/2024. 

• Treatment of acute and chronic illness using combined natural and conventional therapies
• Acupuncture for low back pain, neck pain, chronic headaches, menstrual irregularities and other Illnesses
• Acupuncture for optimal health:  Some patients choose to have acupuncture sessions to prevent imbalance
• Preventive screenings and annual exams for women and men (including well women exams, sports physicals, annual screening bloodwork)
• Well child checks (Please note that we prefer children under 2 years to be established at a pediatric office)
• Bio-Identical Hormones
• Individualized Weight Loss Plans & Natural Detox/Cleanse Protocols. (I do not offer HCG protocol.)  
• Nutrition guidance for digestive concerns, diabetes, and weight problems
• AND…. New perspectives on medical problems not addressed by conventional approach

*My office does not currently offer minor surgery or IUD inserts.  I also do not carry vaccinations in my office and send patients to local pharmacies or pediatric offices for vaccine administration.

Insurance

Insurances that we are contracted with:

We are not currently contracted with:  Ambetter, Apple Health (unless it says Molina), CHP,  United CHP,  Basic Medicare plans.   We would love to serve our Medicare clients, but basic Medicare plans do not allow naturopaths to contract with them as providers.  We also are not contracted with medicare for acupuncture.

*Time of service cash discounts are also available for patients without insurance coverage. We accept cash, check and credit/debit cards.

People often have questions about their insurance and coverage.   Sometimes we are in network with an insurance listed above, but a patient has a plan that excludes our services.  The best way you can find out what YOUR insurance coverage contains is to call your insurance and ask “Do I have naturopathic coverage” or “Do I have acupuncture coverage”.    Ask if there are limitations on a number of visits per year. Understanding how much your yearly deductible is will also help you understand how much out of pocket cost you may have. Most patients do not need a referral to come to our office.

Some patients with Kaiser insurance may choose to have a referral sent from their PCP (primary care provider), though most Kaiser plans do allow 3 naturopathic visits per complaint and 8 acupuncture visits per complaint per calendar year without a referral. Patients with Medicare typically pay out of pocket using our time of service discount, as basic Medicare does not cover Naturopathic or Acupuncture visits.    Please call us or your insurance if you have questions about your insurance plans.

Assessment

Dr. Wine and Dr Wilhelm use a variety of assessment tools to determine the underlying cause of illness. In addition to physical examination, they use conventional lab and imaging methods as well as several “alternative” labs as needed.

Alternative testing that they offer when appropriate includes:

• Female salivary and urine hormone testing
• Salivary cortisol testing
• Heavy Metal Urinary Testing
• Digestive Function Panels, including yeast & SIBO testing
• IgG Food Allergy testing
• Environmental Pollutants Panel

Appointments

• First office visits are 45-60 minutes, and follow-ups are scheduled for 30 minutes.
• We are not taking new naturopathic patients.
• Acupuncture appointments are typically one hour.   We continue to take new acupuncture patients for both insurance and time of service payments.
• Time of service rates for acupuncture appointments are between 90-120 for the first visit and $75-90 for typical follow up visits.  This reflects a discount from our billed insurance rates but must be paid at time of service in order to get this discount.
• Time of service rates for new naturopathic appointments are between $140-$200 depending on complexity and length of visit.   Follow up visits may range from $80-160.
• Please note that our office is fragrance-free in order to keep the environment safe and comfortable for all of our patients.

Location

Co-op Building
321 W Washington Street Suite #328
Mt Vernon WA 98273

Fax: 360-395-6200

(Yes! The office is on the third floor of the downtown Skagit food co-op grocery store. There are multiple offices upstairs. You can access the third door best by using the door on the South East corner of the building. Our office is at the very end of the building down the very last hallway. Free parking is available in the Co-op building parking lot and is typically readily available except at lunchtime and during tulip season.)