John Michael Wilson, is a medicare enrolled "Neurological Surgery" physician in Cape Coral, Florida. His current practice location is
632 Del Prado Blvd N, Cape Coral, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 343-3800.
John Michael Wilson is licensed to practice in Florida (license number ME173577) 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 1639673924.
Physician's Profile
| Full Name | John Michael Wilson |
|---|
| Gender | Male |
|---|
| Speciality | Neurological Surgery |
|---|
| Location | 632 Del Prado Blvd N, Cape Coral, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1639673924
- Provider Enumeration Date: 03/21/2018
- Last Update Date: 07/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193072429
- Enrollment ID: I20230120001931
Medical Identifiers
Medical identifiers for John Michael Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639673924 | NPI | - | NPPES |
| 127244600 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 326172 (Louisiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207T00000X | Neurological Surgery | ME173577 (Florida) | 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. John Michael Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210210001575 |
|---|
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. John Michael 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 |
|---|
John Michael Wilson,
Po Box 2147,
Fort Myers, FL 33902-2147
Ph: (393) 433-8002 | John Michael Wilson,
632 Del Prado Blvd N,
Cape Coral, FL 33909-2278
Ph: (239) 343-3800 |
Reviews and Comments