Jessica Patreece Wilson, NP is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Kenly, North Carolina. Her current practice location is
7303 Brittney Lane, Kenly, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 265-2842.
Jessica Patreece Wilson is licensed to practice in North Carolina (license number WILS-K763D2) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629622162.
Physician's Profile
Full Name | Jessica Patreece Wilson |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 7303 Brittney Lane, Kenly, North Carolina |
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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: 1629622162
- Provider Enumeration Date: 08/01/2019
- Last Update Date: 03/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971835091
- Enrollment ID: I20220204000415
Medical Identifiers
Medical identifiers for Jessica Patreece Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629622162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | WILS-K763D2 (North Carolina) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | WILS-K763D2 (North Carolina) | Secondary |
208D00000X | General Practice | WILS-K763D2 (North Carolina) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | WILS-K763D2 (North Carolina) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | WILS-K763D2 (North Carolina) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | WILS-K763D2 (North Carolina) | Secondary |
363LC1500X | Nurse Practitioner - Community Health | WILS-K763D2 (North Carolina) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | WILS-K763D2 (North Carolina) | Primary |
207QA0505X | Family Medicine - Adult Medicine | WILS-K763D2 (North Carolina) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | WILS-K763D2 (North Carolina) | Secondary |
171400000X | Health & Wellness Coach | (* (Not Available)) | Secondary |
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. Jessica Patreece Wilson allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
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Entity Name | Galileo Medical Group Nc Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831660265 PECOS PAC ID: 0648603266 Enrollment ID: O20191211002938 |
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Entity Name | Infinite Care Partners Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821724881 PECOS PAC ID: 0345697108 Enrollment ID: O20231115003771 |
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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. Jessica Patreece 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 |
Jessica Patreece Wilson, NP 7303 Brittney Lane, Kenly, NC 27542 Ph: (252) 265-2842 | Jessica Patreece Wilson, NP 7303 Brittney Lane, Kenly, NC 27542 Ph: (252) 265-2842 |
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