Jacob Michael Wilmes, PMHNP-BC in Saint Louis, MO

Jacob Michael Wilmes, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Louis, Missouri. His current practice location is 1400 Lemay Ferry Rd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 776-7999.

Jacob Michael Wilmes is licensed to practice in Missouri (license number 2023046604) 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 1902671639.

Contact Information

	Jacob Michael Wilmes, PMHNP-BC
	1400 Lemay Ferry Rd, Saint Louis, MO 63125-2408
	(314) 776-7999
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Michael Wilmes
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1400 Lemay Ferry Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902671639
Provider Enumeration Date: 11/22/2023
Last Update Date: 01/05/2024

Medicare PECOS Information:

PECOS PAC ID: 0446693329
Enrollment ID: I20240207003059

Medical Identifiers

Medical identifiers for Jacob Michael Wilmes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902671639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2023046604 (Missouri)	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. Jacob Michael Wilmes allows following entities to bill medicare on his behalf.

Entity Name	Clinical Research Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063632826 PECOS PAC ID: 5597662080 Enrollment ID: O20040910000261

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. Jacob Michael Wilmes 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
Jacob Michael Wilmes, PMHNP-BC 96 Crystalwood Ct, Wentzville, MO 63385-8085 Ph: (636) 577-7962	Jacob Michael Wilmes, PMHNP-BC 1400 Lemay Ferry Rd, Saint Louis, MO 63125-2408 Ph: (314) 776-7999

Reviews and Comments

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Jacob Michael Wilmes, PMHNP-BC - Medicare Nurse Practitioner in Saint Louis, MO