Dr Jeffrey Jordan Wilson, DDS in Okmulgee, OK

Dr Jeffrey Jordan Wilson, DDS is a medicare enrolled "Dentist" provider in Okmulgee, Oklahoma. His current practice location is 1313 E 20th St, Okmulgee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 591-5721.

Dr Jeffrey Jordan Wilson is licensed to practice in Oklahoma (license number 7326) 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 1235757568.

Contact Information

	Dr Jeffrey Jordan Wilson, DDS
	1313 E 20th St, Okmulgee, OK 74447-6303
	(918) 591-5721
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeffrey Jordan Wilson
Gender	Male
Speciality	Dentist
Location	1313 E 20th St, Okmulgee, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235757568
Provider Enumeration Date: 07/13/2020
Last Update Date: 07/13/2020

Medicare PECOS Information:

PECOS PAC ID: 5395163885
Enrollment ID: I20200915003003

Medical Identifiers

Medical identifiers for Dr Jeffrey Jordan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235757568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7326 (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. Dr Jeffrey Jordan Wilson allows following entities to bill medicare on his behalf.

Entity Name	Creek Nation Hospital & Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130

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 Jeffrey Jordan 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 Address	Practice Location Address
Dr Jeffrey Jordan Wilson, DDS 5528 E 107th St, Tulsa, OK 74137-7293 Ph: (918) 576-9293	Dr Jeffrey Jordan Wilson, DDS 1313 E 20th St, Okmulgee, OK 74447-6303 Ph: (918) 591-5721

Reviews and Comments

Dentist in Okmulgee, OK

Dr. Jerod Don Yaerger, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 505 S Muskogee Ave, Okmulgee, OK 74447 Phone: 918-758-0022 Fax: 918-756-2046
Dr. Nicholas Busby, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1313 E 20th St, Okmulgee, OK 74447 Phone: 918-591-5721
Dr. Gary Phillip Adolph, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 N Grand Ave, Okmulgee, OK 74447 Phone: 918-756-0270 Fax: 918-756-0283
Nehal M Patel, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1313 E 20th St, Okmulgee, OK 74447 Phone: 918-758-2700 Fax: 918-758-2703
Dr. Randolph Paul Hess, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 E 8th St, Okmulgee, OK 74447 Phone: 918-756-9595 Fax: 918-756-7781
Dr. K. Tim Mount, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 216 E 8th St, Okmulgee, OK 74447 Phone: 918-756-9363 Fax: 918-756-9364

Dr Jeffrey Jordan Wilson, DDS - Medicare Dentist in Okmulgee, OK