| Jerome Laurence Wilson, PA-C | |
|
919 Main St Ste 101, Dyer, IN 46311-3717 | |
| (219) 836-7531 | |
| (219) 836-7593 |
| Full Name | Jerome Laurence Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 919 Main St Ste 101, Dyer, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588765010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 085001943 (Illinois) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 10002805A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Dyer | Dyer, IN | Hospital |
| Franciscan Health Munster | Munster, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 2710 |
| Franciscan Physician Network | 3072790682 | 983 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Laurence Wilson, PA-C Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Jerome Laurence Wilson, PA-C 919 Main St Ste 101, Dyer, IN 46311-3717 Ph: (219) 836-7531 |
Megan E Hilborn, MSPA, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2150 Gettler St Ste 455, Dyer, IN 46311 Phone: 219-922-7159 Fax: 219-922-4020 | |
Sonia Rae Krengel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 919 Main St Ste 201, Dyer, IN 46311 Phone: 219-922-3002 Fax: 219-922-3003 | |
Anni Rajput, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1490 Deer Creek Dr, Dyer, IN 46311 Phone: 219-671-3431 | |
Amanda Pimentel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-322-5747 Fax: 219-864-2282 | |
Mrs. Tiffany Erin O'hern, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1532 Calumet Ave, Dyer, IN 46311 Phone: 219-323-8700 | |
Adara Simonelli, Physician Assistant Medicare: Medicare Enrolled Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-865-2141 Fax: 219-933-2288 | |
Ms. Erin Bartels, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 919 Main St, Ste. 204, Dyer, IN 46311 Phone: 219-934-2495 Fax: 219-934-2479 |