Jack W Wilson, DDS - Dentist in Mount Ida, AR

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Jack W Wilson, DDS is a Dentist - General Practice based in Mount Ida, Arkansas. Jack W Wilson is licensed to practice in Oklahoma (license number 5303) and his current practice location is 534 Luzerne St, Mount Ida, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 867-4244.

NPI number for Jack W Wilson is 1598774465 and his current mailing address is 1201 Mena St, Mena, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598774465.

Contact Information

Jack W Wilson, DDS
534 Luzerne St,
Mount Ida, AR 71957-9449
(870) 867-4244
(870) 867-4254

Map and Direction




Healthcare Provider's Profile

Full NameJack W Wilson
GenderMale
SpecialityDentist - General Practice
Location534 Luzerne St, Mount Ida, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598774465
  • Provider Enumeration Date: 08/07/2006
  • Last Update Date: 04/14/2008

Medical Identifiers

Medical identifiers for Jack W Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598774465NPI-NPPES
450463188002OtherOKBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 5303 (Oklahoma)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. Jack W 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 AddressPractice Location Address
Jack W Wilson, DDS
1201 Mena St,
Mena, AR 71953-4280

Ph: (479) 394-2332		Jack W Wilson, DDS
534 Luzerne St,
Mount Ida, AR 71957-9449

Ph: (870) 867-4244

Reviews and Comments


Dentist in Mount Ida, AR

Ronnie Lee Faulkner, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 138 Hwy 270 East, Mount Ida, AR 71957
Phone: 870-867-3432    Fax: 870-867-3783

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.