Mr John Forrest Wilson Iii, BS, LPN is a
Licensed Practical Nurse based in Riverside, Ohio. Mr John Forrest Wilson Iii is licensed to practice in Ohio (license number 152422) and his current practice location is
412 Ketcham St, Riverside, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 369-6966.
NPI number for Mr John Forrest Wilson Iii is 1982031944 and his current mailing address is 412 Ketcham St, Riverside, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982031944.
Provider's Profile
Full Name | Mr John Forrest Wilson Iii |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 412 Ketcham St, Riverside, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982031944
- Provider Enumeration Date: 10/03/2013
- Last Update Date: 10/03/2013
Medical Identifiers
Medical identifiers for Mr John Forrest Wilson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982031944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 152422 (Ohio) | 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 Forrest 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 Forrest Wilson Iii, BS, LPN 412 Ketcham St, Riverside, OH 45431-2124 Ph: (937) 369-6966 | Mr John Forrest Wilson Iii, BS, LPN 412 Ketcham St, Riverside, OH 45431-2124 Ph: (937) 369-6966 |
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