Mr Jeffrey Lynn Wilson, FNP-BC is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Ooltewah, Tennessee. His current practice location is
5516 Barons Pt, Ooltewah, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 987-5333.
Mr Jeffrey Lynn Wilson is licensed to practice in Tennessee (license number 19891) 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 1073909883.
Provider's Profile
Full Name | Mr Jeffrey Lynn Wilson |
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Gender | Male |
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Speciality | Clinical Nurse Specialist - Family Health |
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Location | 5516 Barons Pt, Ooltewah, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073909883
- Provider Enumeration Date: 04/08/2015
- Last Update Date: 04/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 3577857457
- Enrollment ID: I20160816001604
Medical Identifiers
Medical identifiers for Mr Jeffrey Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073909883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SF0001X | Clinical Nurse Specialist - Family Health | 19891 (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 Jeffrey Lynn 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 |
Mr Jeffrey Lynn Wilson, FNP-BC 5516 Barons Pt, Ooltewah, TN 37363-8875 Ph: (423) 987-5333 | Mr Jeffrey Lynn Wilson, FNP-BC 5516 Barons Pt, Ooltewah, TN 37363-8875 Ph: (423) 987-5333 |
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