Dr Jeremy R Wilson, DO is a medicare enrolled "Surgery" physician in Huntington, Indiana. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1999 and has 25 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Parkview Health System Inc and his current practice location is
2003 Stults Rd Ste 120, Huntington, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 454-0425.
Dr Jeremy R Wilson is licensed to practice in Indiana (license number 02002760A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518930015.
Physician's Profile
| Full Name | Dr Jeremy R Wilson |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 25 Years |
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| Location | 2003 Stults Rd Ste 120, Huntington, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jeremy R Wilson attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1999
NPI Data:
- NPI Number: 1518930015
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 01/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 0143293415
- Enrollment ID: I20040816000333
Medical Identifiers
Medical identifiers for Dr Jeremy R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518930015 | NPI | - | NPPES |
| 000000651390 | Other | | ANTHEM |
| 200262010 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 02002760A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Parkview Health System Inc | 2163336967 | 1192 |
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 Jeremy R Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Parkview Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288 |
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| Entity Name | Marion General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528099041
PECOS PAC ID: 9133023625
Enrollment ID: O20040524001483 |
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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 Jeremy R 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 |
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Dr Jeremy R Wilson, DO
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701
Ph: () - | Dr Jeremy R Wilson, DO
2003 Stults Rd Ste 120,
Huntington, IN 46750-1291
Ph: (260) 454-0425 |
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