Dr Terrence James Wilson, MD, MPH is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Saint Augustine, Florida. His current practice location is
126 Fresnel Ln, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at
(252) 567-2456.
Dr Terrence James Wilson is licensed to practice in Florida (license number ME147391) 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 1477714400.
Physician's Profile
| Full Name | Dr Terrence James Wilson |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 126 Fresnel Ln, Saint Augustine, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1477714400
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 10/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355752502
- Enrollment ID: I20201119002997
Medical Identifiers
Medical identifiers for Dr Terrence James Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477714400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | H7851 (Texas) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 60485 (Georgia) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD.201772 (Louisiana) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | G88806 (California) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 45041 (Connecticut) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME147391 (Florida) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | ME147391 (Florida) | Primary |
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. Dr Terrence James Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Integrated Rehab Consultants Florida Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245700244
PECOS PAC ID: 4486997426
Enrollment ID: O20190515001526 |
|---|
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. Dr Terrence James 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 |
|---|
Dr Terrence James Wilson, MD, MPH
126 Fresnel Ln,
Saint Augustine, FL 32095-7514
Ph: (252) 567-2456 | Dr Terrence James Wilson, MD, MPH
126 Fresnel Ln,
Saint Augustine, FL 32095-7514
Ph: (252) 567-2456 |
Reviews and Comments