James Keenan Wilson, MD is a medicare enrolled "Emergency Medicine" physician in Eupora, Mississippi. His current practice location is
500 Veterans Memorial Blvd S, Eupora, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 258-6221.
James Keenan Wilson is licensed to practice in Mississippi (license number 14441) 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 1003841354.
Physician's Profile
Full Name | James Keenan Wilson |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 500 Veterans Memorial Blvd S, Eupora, Mississippi |
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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: 1003841354
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 06/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 9133022353
- Enrollment ID: I20160615000041
Medical Identifiers
Medical identifiers for James Keenan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003841354 | NPI | - | NPPES |
0113851 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 14441 (Mississippi) | Primary |
208D00000X | General Practice | 14441 (Mississippi) | Secondary |
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. James Keenan 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 |
James Keenan Wilson, MD 307 College St, Winona, MS 38967-1901 Ph: (662) 508-5061 | James Keenan Wilson, MD 500 Veterans Memorial Blvd S, Eupora, MS 39744-2215 Ph: (662) 258-6221 |
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