| Jennifer Wilson, DO | |
|
803 Highway 31 East, Chandler, TX 75758-0373 | |
| (903) 849-5756 | |
| Not Available |
| Full Name | Jennifer Wilson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 803 Highway 31 East, Chandler, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477639219 | NPI | - | NPPES |
| 75-2616977-041 | Other | TX | TRICARE |
| 186968702 | Medicaid | TX | |
| 8CW412 | Other | TX | BCBS |
| P00967753 | Other | TX | MEDICARE RR |
| 186968701 | Medicaid | TX | |
| 75-2616977-007 | Other | TX | TRICARE DOUGLAS |
| 752616977002 | Other | TX | TRICARE |
| P00385523 | Other | TX | TC GROUP CR1017 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3794 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Homecare | Tyler, TX | Home health agency |
| Encompass Home Health Of East Texas | Tyler, TX | Home health agency |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Chandler Nursing Center | Chandler, TX | Nursing home |
| The Waterton Healthcare & Rehabilitation | Tyler, TX | Nursing home |
| Oak Brook Health Care Center | Whitehouse, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Wilson, DO Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Jennifer Wilson, DO 803 Highway 31 East, Chandler, TX 75758-0373 Ph: (903) 849-5756 |
William Garre Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 State Highway 31 E, Chandler, TX 75758 Phone: 903-849-5756 | |
Samuel W Raborn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Hwy 31 East, Chandler, TX 75758 Phone: 903-849-3862 Fax: 903-849-4965 |