Jeremy Lee Wilt, NP - Medicare Nurse Practitioner in Charlestown, IN

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Jeremy Lee Wilt, NP is a medicare enrolled "Nurse Practitioner - Family" in Charlestown, Indiana. His current practice location is 9431 County Road 403, Charlestown, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 256-6391.

Jeremy Lee Wilt is licensed to practice in Indiana (license number 28165750A) 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 1043689672.

Contact Information

Jeremy Lee Wilt, NP
9431 County Road 403,
Charlestown, IN 47111-8946
(812) 256-6391
Not Available

Map and Direction




Provider's Profile

Full NameJeremy Lee Wilt
GenderMale
SpecialityNurse Practitioner - Family
Location9431 County Road 403, Charlestown, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043689672
  • Provider Enumeration Date: 09/24/2015
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7618239070
  • Enrollment ID: I20180322001684

Medical Identifiers

Medical identifiers for Jeremy Lee Wilt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043689672NPI-NPPES
F0915751OtherINAANP CERTIFICATION
28165750AOtherININDIANA LICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 71005761A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 28165750A (Indiana)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. Jeremy Lee Wilt allows following entities to bill medicare on his behalf.
Entity NameFirst Urology Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922099811
PECOS PAC ID: 3779572888
Enrollment ID: O20040602000501
Entity NameLouisville Geriatric Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922337617
PECOS PAC ID: 1557380086
Enrollment ID: O20080821000664
Entity NameWall Street Medical Group Inpatient Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992312862
PECOS PAC ID: 3274953526
Enrollment ID: O20201026002684

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. Jeremy Lee Wilt 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 AddressPractice Location Address
Jeremy Lee Wilt, NP
9431 County Road 403,
Charlestown, IN 47111-8946

Ph: (812) 256-6391		Jeremy Lee Wilt, NP
9431 County Road 403,
Charlestown, IN 47111-8946

Ph: (812) 256-6391

Reviews and Comments


Nurse Practitioner Nurses in Charlestown, IN

Stacey Mckenzie, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5445 Sky Ridge Rd, Charlestown, IN 47111
Phone: 812-246-3206    
Erica Lowry,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9501 County Road 403, Charlestown, IN 47111
Phone: 812-256-2338    
Brittany Nicole Miles, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9501 County Road 403, Charlestown, IN 47111
Phone: 812-256-2338    
Brittany Ann Winsor, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9431 County Road 403, Charlestown, IN 47111
Phone: 502-256-6391    Fax: 812-256-9105
Kathleen W Free, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2300 Market St, Charlestown, IN 47111
Phone: 812-256-5506    
Camille Mae Carl, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6441 Anna Louise Dr, Charlestown, IN 47111
Phone: 502-544-3079    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.