Jake Wilson, - Medicare Emergency Medicine in Lancaster, CA

Jake Wilson, is a medicare enrolled "Emergency Medicine" physician in Lancaster, California. He went to University Of Texas Medical Branch At Galveston and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Providence Medical Foundation, San Carlos Apache Healthcare Corporation, Western Washington Emergency Physicians Pllc, Grant County Public Hospital District 1 and his current practice location is 1600 W Avenue J, Lancaster, California. You can reach out to his office (for appointments etc.) via phone at (661) 949-5000.

Jake Wilson is licensed to practice in California (license number A141468) 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 1700203023.

Contact Information

Jake Wilson,
1600 W Avenue J,
Lancaster, CA 93534
(661) 949-5000
Not Available

Map and Direction




Physician's Profile

Full NameJake Wilson
GenderMale
SpecialityEmergency Medicine
Experience10 Years
Location1600 W Avenue J, Lancaster, California
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:
  • Jake Wilson attended and graduated from University Of Texas Medical Branch At Galveston in 2014
  NPI Data:
  • NPI Number: 1700203023
  • Provider Enumeration Date: 03/25/2014
  • Last Update Date: 03/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022374560
  • Enrollment ID: I20171115003830

Medical Identifiers

Medical identifiers for Jake Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700203023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD61413870 (Washington)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine A141468 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Multicare Good Samaritan HospitalPuyallup, WAHospital
St Joseph HospitalEureka, CAHospital
Olympic Medical CenterPort angeles, WAHospital
Samaritan HospitalMoses lake, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Foundation89219932051312
San Carlos Apache Healthcare Corporation0648580597116
Western Washington Emergency Physicians Pllc074951473562
Grant County Public Hospital District 1993109569288

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. Jake Wilson allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameMontclair Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316044696
PECOS PAC ID: 8022019702
Enrollment ID: O20070123000593
Entity NameSan Dimas Emergency Medical Associates Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720239460
PECOS PAC ID: 0648334235
Enrollment ID: O20090127000007
Entity NameHuntington Park Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053747121
PECOS PAC ID: 9638305204
Enrollment ID: O20131204001371

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. Jake 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
Jake Wilson,
1128 Ocean Park Blvd Apt 201,
Santa Monica, CA 90405-4765

Ph: (512) 470-6262
Jake Wilson,
1600 W Avenue J,
Lancaster, CA 93534

Ph: (661) 949-5000

Reviews and Comments


Emergency Medicine Doctors in Lancaster, CA

Frederic S Auerbach, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1600 W Avenue J, Lancaster, CA 93534
Phone: 661-949-5000    
Frank Detrana, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1600 W Avenue J, Lancaster, CA 93534
Phone: 661-949-5000    
Matthew Richard, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 W Avenue J, Lancaster, CA 93534
Phone: 661-949-5000    
Dr. Kitcha Ranch, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 43830 10th St W, Lancaster, CA 93534
Phone: 661-940-1421    
Dr. Nancy Louise Ferrel, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 44900 60th St W, Lancaster, CA 93536
Phone: 661-948-8581    Fax: 661-945-8470
Dr. Kelly A Hall, DVM
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1055 W Columbia Way, #103, Lancaster, CA 93534
Phone: 661-729-1500    Fax: 661-729-4500
Diane L Kehrli, NP
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 W Avenue J, Lancaster, CA 93534
Phone: 661-949-5000    

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).

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