Jason Andrew Wilson, LAC MSOM is a
Acupuncturist based in Dyer, Indiana. Jason Andrew Wilson is licensed to practice in Illinois (license number 198.000780) and his current practice location is
14785 W 101st Ave # 101, Dyer, Indiana. He can be reached at his office (for appointments etc.) via phone at
(219) 689-5563.
NPI number for Jason Andrew Wilson is 1861651663 and his current mailing address is 14785 W 101st Ave # 101, Dyer, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861651663.
Healthcare Provider's Profile
Full Name | Jason Andrew Wilson |
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Gender | Male |
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Speciality | Acupuncturist |
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Location | 14785 W 101st Ave # 101, Dyer, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861651663
- Provider Enumeration Date: 06/05/2008
- Last Update Date: 11/18/2021
Medical Identifiers
Medical identifiers for Jason Andrew Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861651663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 198.000780 (Illinois) | Primary |
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. Jason Andrew Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jason Andrew Wilson, LAC MSOM 14785 W 101st Ave # 101, Dyer, IN 46311-3371 Ph: (219) 689-5563 | Jason Andrew Wilson, LAC MSOM 14785 W 101st Ave # 101, Dyer, IN 46311-3371 Ph: (219) 689-5563 |
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