Dr Jonathan Edward Wilson, DO - Medicare Vascular Surgery in Lees Summit, MO

Dr Jonathan Edward Wilson, DO is a medicare enrolled "Surgery" physician in Lees Summit, Missouri. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Carroll County Memorial Hospital, Midwest Aortic And Vascular Institute Pc and his current practice location is 112 Nw Hackberry St, Lees Summit, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 944-8464.

Dr Jonathan Edward Wilson is licensed to practice in Missouri (license number 2008006047) 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 1649479916.

Contact Information

Dr Jonathan Edward Wilson, DO
112 Nw Hackberry St,
Lees Summit, MO 64064-1476
(816) 944-8464
Not Available

Map and Direction




Physician's Profile

Full NameDr Jonathan Edward Wilson
GenderMale
SpecialityVascular Surgery
Experience21 Years
Location112 Nw Hackberry St, Lees Summit, 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 Jonathan Edward Wilson graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1649479916
  • Provider Enumeration Date: 07/16/2007
  • Last Update Date: 10/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0345483426
  • Enrollment ID: I20130821000958

Medical Identifiers

Medical identifiers for Dr Jonathan Edward Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649479916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2008006047 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Kansas City HospitalNorth kansas city, MOHospital
Carroll County Memorial HospitalCarrollton, MOHospital
New Liberty Hospital DistrictLiberty, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carroll County Memorial Hospital286048563865
Midwest Aortic And Vascular Institute Pc79119193605

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 Edward Wilson allows following entities to bill medicare on his behalf.
Entity NameCarroll County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528067113
PECOS PAC ID: 2860485638
Enrollment ID: O20040407000120
Entity NameWestern Missouri Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083601330
PECOS PAC ID: 7416931506
Enrollment ID: O20040616000777
Entity NameMidwest Aortic & Vascular Institute Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164476339
PECOS PAC ID: 7911919360
Enrollment ID: O20060629000119
Entity NameRestore Muscle And Joint, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962767061
PECOS PAC ID: 9830346824
Enrollment ID: O20120827000438

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 Edward 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 Edward Wilson, DO
112 Nw Hackberry St,
Lees Summit, MO 64064-1476

Ph: () -
Dr Jonathan Edward Wilson, DO
112 Nw Hackberry St,
Lees Summit, MO 64064-1476

Ph: (816) 944-8464

Reviews and Comments


Surgery Doctors in Lees Summit, MO

Sheliza Kabani,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063
Phone: 310-954-7874    
Dr. Austin J Wagner, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Ne Ralph Powell Rd Ste D, Lees Summit, MO 64064
Phone: 816-675-0920    
Christopher Michael Daggett, D.O.
Surgery
Medicare: Medicare Enrolled
Practice Location: 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064
Phone: 816-246-0800    Fax: 816-246-6613
Christie Michelle Brock, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064
Phone: 816-246-0800    Fax: 816-246-6613
Adam Paul Kramer, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064
Phone: 816-246-0800    Fax: 816-246-6613
Adam Jay Swiger, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2861 Ne Independence Ave Ste 205, Lees Summit, MO 64064
Phone: 816-246-0800    Fax: 816-246-6613
Dr. David Rene Mantilla, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3600 Ne Ralph Powell Rd Ste D, Lees Summit, MO 64064
Phone: 816-675-0920    

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.

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