Dr Jarell Lamonz Wilson, DDS is a medicare enrolled "Dentist - General Practice" provider in Pinon, Arizona. His current practice location is
Navajo Service Rte 41, Pinon, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 725-9500.
Dr Jarell Lamonz Wilson is licensed to practice in New York (license number 059461) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336694116.
Healthcare Provider's Profile
| Full Name | Dr Jarell Lamonz Wilson |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | Navajo Service Rte 41, Pinon, Arizona |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1336694116
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 02/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 8022357334
- Enrollment ID: I20240104002381
Medical Identifiers
Medical identifiers for Dr Jarell Lamonz Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336694116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 059461 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | D010564 (Arizona) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jarell Lamonz Wilson allows following entities to bill medicare on his behalf.
| Entity Name | San Carlos Apache Healthcare Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1265813075
PECOS PAC ID: 0648580597
Enrollment ID: O20151105002091 |
|---|
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. Dr Jarell Lamonz Wilson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jarell Lamonz Wilson, DDS
Po Box 681,
Pinon, AZ 86510-0681
Ph: (843) 593-5905 | Dr Jarell Lamonz Wilson, DDS
Navajo Service Rte 41,
Pinon, AZ 86510
Ph: (928) 725-9500 |
Reviews and Comments