Thomas J Wilson, MD - Medicare Radiology in Jackson, WY

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Thomas J Wilson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jackson, Wyoming. His current practice location is 625 East Broadway, St Johns Medical Center Dept Of Radiology, Jackson, Wyoming. You can reach out to his office (for appointments etc.) via phone at (800) 633-1905.

Thomas J Wilson is licensed to practice in Wyoming (license number 5596A) 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 1689788655.

Contact Information

Thomas J Wilson, MD
625 East Broadway, St Johns Medical Center Dept Of Radiology,
Jackson, WY 83001
(800) 633-1905
(913) 491-0411

Map and Direction




Physician's Profile

Full NameThomas J Wilson
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location625 East Broadway, Jackson, Wyoming
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689788655
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274520218
  • Enrollment ID: I20040429001337

Medical Identifiers

Medical identifiers for Thomas J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689788655NPI-NPPES
5596AOtherWYMEDICAL LICENSE
313044OtherWYOMING BLUE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 5596A (Wyoming)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. Thomas J Wilson allows following entities to bill medicare on his behalf.
Entity NameJackson Hole Medical Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669586632
PECOS PAC ID: 0648162339
Enrollment ID: O20040326001277
Entity NameSouth Lincoln Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033221569
PECOS PAC ID: 2961490057
Enrollment ID: O20040604000832

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. Thomas J 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
Thomas J Wilson, MD
Po Box 9230,
Jackson, WY 83002-9230

Ph: (800) 633-1905		Thomas J Wilson, MD
625 East Broadway, St Johns Medical Center Dept Of Radiology,
Jackson, WY 83001

Ph: (800) 633-1905

Reviews and Comments


Radiology Doctors in Jackson, WY

John A. Sullivan, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 7330 Ryegrass Road, Jackson, WY 83001
Phone: 307-733-9105    
Richard A Ofstein, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: St Johns Medical Center Dept Of Radiology, 625 E Broadway, Jackson, WY 83011
Phone: 800-633-1905    Fax: 913-491-0411
Christopher Sean Haling, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 625 East Broadway, St Johns Medical Center Dept Of Radiology, Jackson, WY 83001
Phone: 800-633-1905    
Katharine A Yoler, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 715 Snow King Dr, Jackson, WY 83001
Phone: 206-755-3545    
Robert Paul Jones, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 625 E Broadway Ave, Jackson, WY 83001
Phone: 307-739-7282    
Gary W Heath, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 625 East Broadway, St Johns Medical Center Dept Of Radiology, Jackson, WY 83001
Phone: 800-633-1905    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.