Mr Charles Lynn Wilson Jr, MS in Claremore, OK

Mr Charles Lynn Wilson Jr, MS is a medicare enrolled "Counselor - Mental Health" provider in Claremore, Oklahoma. His current practice location is 1402 N Florence Ave Ste B, Claremore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 608-0380.

Mr Charles Lynn Wilson Jr is licensed to practice in Oklahoma (license number 10690) 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 1447770086.

Contact Information

	Mr Charles Lynn Wilson Jr, MS
	1402 N Florence Ave Ste B, Claremore, OK 74017-3159
	(918) 608-0380
	(209) 425-5727

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles Lynn Wilson Jr
Gender	Male
Speciality	Counselor - Mental Health
Location	1402 N Florence Ave Ste B, Claremore, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447770086
Provider Enumeration Date: 06/25/2017
Last Update Date: 04/12/2022

Medicare PECOS Information:

PECOS PAC ID: 4284082439
Enrollment ID: I20231128002779

Medical Identifiers

Medical identifiers for Mr Charles Lynn Wilson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447770086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	10690 (Oklahoma)	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 Charles Lynn Wilson Jr allows following entities to bill medicare on his behalf.

Entity Name	Alliance Mental Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053602649 PECOS PAC ID: 0345670733 Enrollment ID: O20200427002009

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 Charles Lynn Wilson Jr 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 Charles Lynn Wilson Jr, MS 1402 N Florence Ave Ste B, Claremore, OK 74017-3159 Ph: (186) 080-3809	Mr Charles Lynn Wilson Jr, MS 1402 N Florence Ave Ste B, Claremore, OK 74017-3159 Ph: (918) 608-0380

Reviews and Comments

Counselor in Claremore, OK

Becky Ann Gafford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 W Will Rogers Blvd, Claremore, OK 74017 Phone: 918-810-8929
Tiffany Landis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-619-2557 Fax: 918-342-0087
Michaela Ruby Lacio, MHR, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770
Zaire Archuleta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 Fax: 918-342-0087
Valorie C Nagy, MHR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Road, Claremore, OK 74017 Phone: 918-342-0770
Lucy Diane Estes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17599 S Highway 88, Claremore, OK 74017 Phone: 918-273-0770
Helen Provost, BSW/MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-374-0770 Fax: 918-342-0087

Mr Charles Lynn Wilson Jr, MS - Medicare Counselor in Claremore, OK