Dr Jonathan William Wilson, OD - Medicare Optometrist in Southaven, MS

Dr Jonathan William Wilson, OD is a medicare enrolled "Optometrist" provider in Southaven, Mississippi. He went to Southern College Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Charleston Vision Center Pa, Obrien Vision Center, P.a., Byhalia Vision Center Llc and his current practice location is 1890 Goodman Rd E Ste 100, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 772-5882.

Dr Jonathan William Wilson is licensed to practice in Mississippi (license number 722) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881738532.

Contact Information

Dr Jonathan William Wilson, OD
1890 Goodman Rd E Ste 100,
Southaven, MS 38671-9504
(662) 772-5882
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jonathan William Wilson
GenderMale
SpecialityOptometry
Experience20 Years
Location1890 Goodman Rd E Ste 100, Southaven, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jonathan William Wilson attended and graduated from Southern College Of Optometry in 2004
  NPI Data:
  • NPI Number: 1881738532
  • Provider Enumeration Date: 02/16/2007
  • Last Update Date: 07/27/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7315901592
  • Enrollment ID: I20080303000201

Medical Identifiers

Medical identifiers for Dr Jonathan William Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881738532NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 722 (Mississippi)Primary
152W00000XOptometrist 2525 (Tennessee)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charleston Vision Center Pa24666927773
Obrien Vision Center, P.a.60029909835
Byhalia Vision Center Llc75172975914

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. Dr Jonathan William Wilson allows following entities to bill medicare on his behalf.
Provider NameObrien Vision Center, P.a.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1518046234
PECOS PAC ID: 6002990983
Enrollment ID: O20080303000142
Provider NameCharleston Vision Center Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1932440138
PECOS PAC ID: 2466692777
Enrollment ID: O20130710000528
Provider NameByhalia Vision Center Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1952965022
PECOS PAC ID: 7517297591
Enrollment ID: O20190918002398

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. Dr Jonathan William 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 AddressPractice Location Address
Dr Jonathan William Wilson, OD
5339 Shetland Trl,
Arlington, TN 38002-8365

Ph: (901) 867-1523
Dr Jonathan William Wilson, OD
1890 Goodman Rd E Ste 100,
Southaven, MS 38671-9504

Ph: (662) 772-5882

Reviews and Comments


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Dr. Taylor Nicole Keys, O.D.
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Dr. Michael Edward Obrien, O.D.
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Practice Location: 1890 Goodman Rd E, Suite 100, Southaven, MS 38671
Phone: 662-772-5882    Fax: 662-772-5808
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Phone: 662-349-1660    

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).

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