Jeffrey Robert Wilson, MD is a medicare enrolled "Urology" physician in Ontario, Ohio. He went to Ohio State University College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Urology. He is a member of the group practice North Central Ohio Family Care Center Inc and his current practice location is
715 Richland Mall, Ontario, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 468-0732.
Jeffrey Robert Wilson is licensed to practice in Ohio (license number 35.148953) 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 1962639237.
Physician's Profile
| Full Name | Jeffrey Robert Wilson |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 15 Years |
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| Location | 715 Richland Mall, Ontario, Ohio |
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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:
- Jeffrey Robert Wilson attended and graduated from Ohio State University College Of Medicine in 2009
NPI Data:
- NPI Number: 1962639237
- Provider Enumeration Date: 06/15/2009
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709012701
- Enrollment ID: I20230905002549
Medical Identifiers
Medical identifiers for Jeffrey Robert Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962639237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | MD450932 (Pennsylvania) | Secondary |
| 208800000X | Urology | 35.148953 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Central Ohio Family Care Center Inc | 3274437082 | 176 |
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. Jeffrey Robert Wilson allows following entities to bill medicare on his behalf.
| Entity Name | North Central Ohio Family Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689822827
PECOS PAC ID: 3274437082
Enrollment ID: O20031124000232 |
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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. Jeffrey Robert 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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Jeffrey Robert Wilson, MD
700 N Columbus St,
Crestline, OH 44827-1455
Ph: (419) 462-3485 | Jeffrey Robert Wilson, MD
715 Richland Mall,
Ontario, OH 44906-3802
Ph: (419) 468-0732 |
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