| Jerrod Prescot Wilson, DC | |
|
12720 S Orange Blossom Trl, # 20, Orlando, FL 32837-6225 | |
| (407) 438-4888 | |
| (407) 398-0117 |
| Full Name | Jerrod Prescot Wilson |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 24 Years |
| Location | 12720 S Orange Blossom Trl, Orlando, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851453344 | NPI | - | NPPES |
| 4605400 | Other | FL | CIGNA |
| 7954734 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH8767 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mauricio Chiropractic Group Inc | 7719036839 | 2 |
| Provider Name | Mauricio Chiropractic Clinics Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992988109 PECOS PAC ID: 2860429669 Enrollment ID: O20050723000086 |
| Provider Name | Mauricio Chiropractic South L L C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689870412 PECOS PAC ID: 5890723217 Enrollment ID: O20050727001030 |
| Provider Name | Mauricio Chiropractic East Colonial, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245413459 PECOS PAC ID: 4385723451 Enrollment ID: O20080501000251 |
| Provider Name | Mauricio Chiropractic Poinciana Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477739258 PECOS PAC ID: 5193897098 Enrollment ID: O20080710000055 |
| Provider Name | Mauricio Chiropractic Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629258330 PECOS PAC ID: 7719036839 Enrollment ID: O20090520000515 |
| Provider Name | Mauricio Chiropractic Dr Phillips Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396110110 PECOS PAC ID: 3870889421 Enrollment ID: O20160907001825 |
| Provider Name | Mauricio Chiropractic Melbourne Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376056291 PECOS PAC ID: 4587916531 Enrollment ID: O20181003000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerrod Prescot Wilson, DC 12720 S Orange Blossom Trl, # 20, Orlando, FL 32837-6225 Ph: (407) 438-4888 | Jerrod Prescot Wilson, DC 12720 S Orange Blossom Trl, # 20, Orlando, FL 32837-6225 Ph: (407) 438-4888 |
Dr. Andrew D Sutherland, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5179 S John Young Parkway, Orlando, FL 32839 Phone: 407-242-5972 Fax: 407-816-9569 | |
Pine Castle Chiropractic Center, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 707 E Oak Ridge Rd., Orlando, FL 32809 Phone: 407-855-7199 Fax: 407-855-7237 | |
South Orlando Family Practice & Medical Injury Center Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4401 S Orange Ave, #116, Orlando, FL 32806 Phone: 407-850-2593 Fax: 407-850-9645 | |
Dr. Cleberton Sousa Bastos, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7121 Grand National Dr Ste 102, Orlando, FL 32819 Phone: 407-308-8878 | |
Johan Collazo, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12301 Lake Underhill Rd # 254, Orlando, FL 32828 Phone: 407-270-6601 | |
Dr. Elizabeth De La Caridad Rivera, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6005 Mausser Dr Apt 2e, Orlando, FL 32822 Phone: 386-235-6822 | |
Luis Omar Lopez-rodriguez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2206 E Colonial Dr, Orlando, FL 32803 Phone: 407-839-1045 |