Dr Terrence James Wilson, MD, MPH is a
Physical Medicine & Rehabilitation physician based in Saint Augustine, Florida. Dr Terrence James Wilson is licensed to practice in Florida (license number ME147391) and his current practice location is 126 Fresnel Ln, Saint Augustine, Florida. He can be reached at his office (for appointments etc.) via phone at
(252) 567-2456.
NPI number for Dr Terrence James Wilson is 1477714400 and his current mailing address is 126 Fresnel Ln, Saint Augustine, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477714400.
Physician's Profile
| Full Name | Dr Terrence James Wilson |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 126 Fresnel Ln, Saint Augustine, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477714400
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 10/08/2020
Medical Identifiers
Medical identifiers for Dr Terrence James Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477714400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | ME147391 (Florida) | Primary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | H7851 (Texas) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 60485 (Georgia) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD.201772 (Louisiana) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | G88806 (California) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 45041 (Connecticut) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME147391 (Florida) | Secondary |
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 Terrence James Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Terrence James Wilson, MD, MPH
126 Fresnel Ln,
Saint Augustine, FL 32095-7514
Ph: (252) 567-2456 | Dr Terrence James Wilson, MD, MPH
126 Fresnel Ln,
Saint Augustine, FL 32095-7514
Ph: (252) 567-2456 |
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