Dr Jared Lane Wilson, DC is a medicare enrolled "Chiropractor - Rehabilitation" physician in Spokane, Washington. His current practice location is
8611 N Division St Ste A, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 599-2766.
Dr Jared Lane Wilson is licensed to practice in Washington (license number CH60542353) 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 1922350321.
Physician's Profile
Full Name | Dr Jared Lane Wilson |
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Gender | Male |
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Speciality | Chiropractor - Rehabilitation |
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Location | 8611 N Division St Ste A, Spokane, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922350321
- Provider Enumeration Date: 10/09/2012
- Last Update Date: 11/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254645765
- Enrollment ID: I20150728005490
Medical Identifiers
Medical identifiers for Dr Jared Lane Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922350321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | CH60542353 (Washington) | Secondary |
111N00000X | Chiropractor | CH60542353 (Washington) | Secondary |
111NR0400X | Chiropractor - Rehabilitation | CH60542353 (Washington) | 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. Dr Jared Lane 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 Jared Lane Wilson, DC 3009 W Dalton Ave, Spokane, WA 99205-2220 Ph: (509) 599-2766 | Dr Jared Lane Wilson, DC 8611 N Division St Ste A, Spokane, WA 99208-5946 Ph: (509) 599-2766 |
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