Jacqueline Wilson, FNP in Keller, TX - Medicare Nurse Practitioner

Jacqueline Wilson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Keller, Texas. Her current practice location is 940 Keller Pkwy Ste 250, Keller, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 716-3922.

Jacqueline Wilson is licensed to practice in Texas (license number AP125844) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043625502.

Contact Information

	Jacqueline Wilson, FNP
	940 Keller Pkwy Ste 250, Keller, TX 76248-3657
	(972) 716-3922
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Wilson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	940 Keller Pkwy Ste 250, Keller, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043625502
Provider Enumeration Date: 06/24/2014
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7012207699
Enrollment ID: I20200630002269

Medical Identifiers

Medical identifiers for Jacqueline Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043625502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP125844 (Texas)	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. Jacqueline Wilson allows following entities to bill medicare on her behalf.

Entity Name	Sinus & Allergy Specialists Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639510803 PECOS PAC ID: 7315169596 Enrollment ID: O20141104002020

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. Jacqueline 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
Jacqueline Wilson, FNP 5929 Balcones Dr Ste 200, Austin, TX 78731-4280 Ph: (512) 550-1800	Jacqueline Wilson, FNP 940 Keller Pkwy Ste 250, Keller, TX 76248-3657 Ph: (972) 716-3922

Reviews and Comments

Nurse Practitioner Nurses in Keller, TX

Sneha Patel, CPNP - PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 N Rufe Snow Dr, Keller, TX 76248 Phone: 817-337-5503
Shannon Alysha Mccaskey, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 808 Keller Pkwy, Keller, TX 76248 Phone: 817-431-2573 Fax: 817-379-6881
Michelle Lee Ballou, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Keller Pkwy Ste 100, Keller, TX 76248 Phone: 817-741-8011
Mrs. Elizabeth Ann Kane-torres, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 N Tarrant Pkwy, Keller, TX 76248 Phone: 817-428-5558
Tijuanda L Cates, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Keller Pkwy Ste 250, Keller, TX 76248 Phone: 972-716-3922 Fax: 877-647-0202
Kristy Lee Knife Chief, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 N Tarrant Pkwy # 3134, Keller, TX 76248 Phone: 817-428-5558

Jacqueline Wilson, FNP - Medicare Nurse Practitioner in Keller, TX