Jennifer Wilson, DO | |
803 Highway 31 East, Chandler, TX 75758-0373 | |
(903) 849-5756 | |
Not Available |
Full Name | Jennifer Wilson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 21 Years |
Location | 803 Highway 31 East, Chandler, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477639219 | NPI | - | NPPES |
75-2616977-041 | Other | TX | TRICARE |
186968702 | Medicaid | TX | |
8CW412 | Other | TX | BCBS |
P00967753 | Other | TX | MEDICARE RR |
186968701 | Medicaid | TX | |
75-2616977-007 | Other | TX | TRICARE DOUGLAS |
752616977002 | Other | TX | TRICARE |
P00385523 | Other | TX | TC GROUP CR1017 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M3794 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Homecare | Tyler, TX | Home health agency |
Heart To Heart Hospice Of Tyler Ltd | Tyler, TX | Hospice |
Hospice Plus | Dallas, TX | Hospice |
Christus Mother Frances Hospital | Tyler, TX | Hospital |
The Waterton Healthcare & Rehabilitation | Tyler, TX | Nursing home |
Chandler Nursing Center | Chandler, TX | Nursing home |
Oak Brook Health Care Center | Whitehouse, TX | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Entity Name | Mother Frances Hospital Jacksonville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
Entity Name | Mother Frances Hospital Regional Health Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Wilson, DO Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Jennifer Wilson, DO 803 Highway 31 East, Chandler, TX 75758-0373 Ph: (903) 849-5756 |
Samuel W Raborn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Hwy 31 East, Chandler, TX 75758 Phone: 903-849-3862 Fax: 903-849-4965 |