Mr John Wilson Iii, CPRS is a
Peer Specialist based in Knoxville, Tennessee. Mr John Wilson Iii is licensed to practice in Tennessee (license number 000-1216) and his current practice location is
201 W Springdale Ave, Knoxville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(865) 637-9711.
NPI number for Mr John Wilson Iii is 1982765772 and his current mailing address is 201 W Springdale Ave, Knoxville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982765772.
Healthcare Provider's Profile
Full Name | Mr John Wilson Iii |
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Gender | Male |
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Speciality | Peer Specialist |
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Location | 201 W Springdale Ave, Knoxville, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982765772
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 07/02/2021
Medical Identifiers
Medical identifiers for Mr John Wilson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982765772 | NPI | - | NPPES |
C4119 | Other | FL | BLUE CROSS PROVIDER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA47923 (Florida) | Secondary |
175T00000X | Peer Specialist | 000-1216 (Tennessee) | Primary |
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. Mr John Wilson Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr John Wilson Iii, CPRS 201 W Springdale Ave, Knoxville, TN 37917-5158 Ph: (865) 637-9711 | Mr John Wilson Iii, CPRS 201 W Springdale Ave, Knoxville, TN 37917-5158 Ph: (865) 637-9711 |
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