Terry Roger Wilson, PA is a
Physician Assistant based in Monroe, Louisiana. Terry Roger Wilson is licensed to practice in Louisiana (license number 200134) and his current practice location is
920 Oliver Rd, Monroe, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 812-7559.
NPI number for Terry Roger Wilson is 1235188301 and his current mailing address is 130 Desiard St, Suite 355, Monroe, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235188301.
Healthcare Provider's Profile
Full Name | Terry Roger Wilson |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 920 Oliver Rd, Monroe, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235188301
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 06/13/2019
Medical Identifiers
Medical identifiers for Terry Roger Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235188301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OTT.Z11857 (Louisiana) | Secondary |
363A00000X | Physician Assistant | 200134 (Louisiana) | 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. Terry Roger Wilson 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 |
Terry Roger Wilson, PA 130 Desiard St, Suite 355, Monroe, LA 71201-7319 Ph: (318) 807-7875 | Terry Roger Wilson, PA 920 Oliver Rd, Monroe, LA 71201-5702 Ph: (318) 812-7559 |
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