Mr Jimmie Joe Wilson, PT in Joplin, MO - Medicare Physical Therapist Provider

Mr Jimmie Joe Wilson, PT is a medicare enrolled "Physical Therapist" provider in Joplin, Missouri. His current practice location is 2727 Mc Clelland Blvd, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 625-2190.

Mr Jimmie Joe Wilson is licensed to practice in Missouri (license number 110637) 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 1053531939.

Contact Information

	Mr Jimmie Joe Wilson, PT
	2727 Mc Clelland Blvd, Joplin, MO 64804-1626
	(417) 625-2190
	(417) 625-2097

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jimmie Joe Wilson
Gender	Male
Speciality	Physical Therapist
Location	2727 Mc Clelland Blvd, Joplin, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053531939
Provider Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6002283322
Enrollment ID: I20221031001503

Medical Identifiers

Medical identifiers for Mr Jimmie Joe Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053531939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	110637 (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. Mr Jimmie Joe Wilson allows following entities to bill medicare on his behalf.

Provider Name	J&l Wilson Enterprises Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1346966017 PECOS PAC ID: 5193192417 Enrollment ID: O20221029000197

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 Jimmie Joe 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 Jimmie Joe Wilson, PT 25465 Leffen Ln, Joplin, MO 64801-6366 Ph: (417) 623-6384	Mr Jimmie Joe Wilson, PT 2727 Mc Clelland Blvd, Joplin, MO 64804-1626 Ph: (417) 625-2190

Reviews and Comments

Physical Therapist in Joplin, MO

Ms. Marie Shireman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 Mc Clelland Blvd, Joplin, MO 64804 Phone: 417-781-2727
Ma. Estela Lopez Ortaleza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 E 34th St, Joplin, MO 64804 Phone: 417-781-1737
Mr. Emmanuel Fernandez, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 W 5th St, Suite D & E, Joplin, MO 64801 Phone: 417-782-2917
Trent Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E 32nd St, Ste 7, Joplin, MO 64804 Phone: 417-624-7400 Fax: 417-624-7403
Mr. William Ellerd Dierks, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Mc Clelland Blvd, Suite 101, Joplin, MO 64804 Phone: 417-623-5560 Fax: 417-634-5740
Stacy Michelle Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E 32nd St Ste 7, Joplin, MO 64804 Phone: 417-624-7400 Fax: 417-624-7403

Mr Jimmie Joe Wilson, PT - Medicare Physical Therapist in Joplin, MO