Jordan Wilson, PA-C is a medicare enrolled "Physician Assistant" physician in Raynham, Massachusetts. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Spectrum Neuro Behavioral Care Llc and his current practice location is
100 New State Hwy, Raynham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(781) 666-2711.
Jordan Wilson is licensed to practice in Massachusetts (license number PA101388) 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 1235651720.
Physician's Profile
| Full Name | Jordan Wilson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 100 New State Hwy, Raynham, Massachusetts |
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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:
- Jordan Wilson graduated from medical school in 2017
NPI Data:
- NPI Number: 1235651720
- Provider Enumeration Date: 07/17/2017
- Last Update Date: 03/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 7012267115
- Enrollment ID: I20250318003456
Medical Identifiers
Medical identifiers for Jordan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235651720 | NPI | - | NPPES |
| 2101119 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | 9110440 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA60855409 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA101388 (Massachusetts) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Spectrum Neuro Behavioral Care Llc | 2860721362 | 45 |
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. Jordan 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 |
|---|
Jordan Wilson, PA-C
100 New State Hwy,
Raynham, MA 02767-5423
Ph: (781) 666-2711 | Jordan Wilson, PA-C
100 New State Hwy,
Raynham, MA 02767-5423
Ph: (781) 666-2711 |
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