Dr Jeffrey P Wilson, MD - Medicare Interventional Cardiology in Fenton, MO

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Dr Jeffrey P Wilson, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Fenton, Missouri. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Prairie Cardiovascular Consultants Ltd, Ssm Medical Group Inc and his current practice location is 1011 Bowles Ave Ste 300, Fenton, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 496-5065.

Dr Jeffrey P Wilson is licensed to practice in Missouri (license number 2025010674) 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 1003287079.

Contact Information

Dr Jeffrey P Wilson, MD
1011 Bowles Ave Ste 300,
Fenton, MO 63026-2387
(636) 496-5065
Not Available

Map and Direction




Physician's Profile

Full NameDr Jeffrey P Wilson
GenderMale
SpecialityInterventional Cardiology
Experience12 Years
Location1011 Bowles Ave Ste 300, Fenton, Missouri
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 Jeffrey P Wilson graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1003287079
  • Provider Enumeration Date: 10/15/2015
  • Last Update Date: 09/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4981999893
  • Enrollment ID: I20231018000565

Medical Identifiers

Medical identifiers for Dr Jeffrey P Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003287079NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 036165783 (Illinois)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 036165783 (Illinois)Secondary
207R00000XInternal Medicine 036165783 (Illinois)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 10415 (South Dakota)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 2025010674 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm St Clare Health CenterFenton, MOHospital
St Johns HospitalSpringfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prairie Cardiovascular Consultants Ltd317343588090
Ssm Medical Group Inc6608776299500

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 P Wilson allows following entities to bill medicare on his behalf.
Entity NamePrairie Cardiovascular Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982714218
PECOS PAC ID: 3173435880
Enrollment ID: O20031103000090
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685

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 P 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 Jeffrey P Wilson, MD
345 W Steamboat Dr Ste 601,
North Sioux City, SD 57049-5287

Ph: () -		Dr Jeffrey P Wilson, MD
1011 Bowles Ave Ste 300,
Fenton, MO 63026-2387

Ph: (636) 496-5065

Reviews and Comments


Internal Medicine Doctors in Fenton, MO

Dr. Gloria Yetunde Ojerinde, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1015 Bowles Ave, Fenton, MO 63026
Phone: 636-496-2000    
Dr. Aman Kanti Patel, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 Bowles Ave Ste 300, Fenton, MO 63026
Phone: 636-496-5065    
Dr. Gregorius Resuma Penilla, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026
Phone: 636-496-5040    
Dr. Stephanie Jean Becker-koepke, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026
Phone: 636-496-4640    
Dr. Jeffrey J Hallazgo, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 714 Gravois Rd, Suite 100, Fenton, MO 63026
Phone: 636-326-6100    Fax: 636-326-6110
Dr. Mansoor Ul Haq, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026
Phone: 636-496-4640    

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.