John F Wilson Iii, is a
Psychologist based in West End, North Carolina. John F Wilson Iii is licensed to practice in North Carolina (license number 2300) and his current practice location is
1135 Seven Lakes Drive, Suite D, West End, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 638-4560.
NPI number for John F Wilson Iii is 1962524207 and his current mailing address is Po Box 912, West End, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962524207.
Healthcare Provider's Profile
| Full Name | John F Wilson Iii |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 1135 Seven Lakes Drive, West End, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962524207
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for John F Wilson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962524207 | NPI | - | NPPES |
| 3403400 | Medicaid | NC | |
| 13973 | Other | NC | BCBS |
| 562033116 | Other | NC | TRICARETAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 2300 (North Carolina) | Primary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 2300 (North Carolina) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 2300 (North Carolina) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2300 (North Carolina) | Secondary |
| 103TC1900X | Psychologist - Counseling | 2300 (North Carolina) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2300 (North Carolina) | Secondary |
| 103TH0100X | Psychologist - Health Service | 2300 (North Carolina) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 2300 (North Carolina) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 2300 (North Carolina) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 2300 (North Carolina) | Secondary |
| 103TS0200X | Psychologist - School | 2300 (North Carolina) | Secondary |
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. John F 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 |
|---|
John F Wilson Iii,
Po Box 912,
West End, NC 27376-0912
Ph: () - | John F Wilson Iii,
1135 Seven Lakes Drive, Suite D,
West End, NC 27376
Ph: (910) 638-4560 |
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