Jerome Laurence Wilson, PA-C - Medicare Physician Assistant in Dyer, IN

Jerome Laurence Wilson, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Dyer, Indiana. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Shore University Healthsystem Faculty Practice Associates, Franciscan Physician Network and his current practice location is 919 Main St Ste 101, Dyer, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 836-7531.

Jerome Laurence Wilson is licensed to practice in Indiana (license number 10002805A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588765010.

Contact Information

Jerome Laurence Wilson, PA-C
919 Main St Ste 101,
Dyer, IN 46311-3717
(219) 836-7531
(219) 836-7593

Map and Direction




Provider's Profile

Full NameJerome Laurence Wilson
GenderMale
SpecialityPhysician Assistant
Experience21 Years
Location919 Main St Ste 101, Dyer, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jerome Laurence Wilson graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1588765010
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 10/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8628075439
  • Enrollment ID: I20061108000277

Medical Identifiers

Medical identifiers for Jerome Laurence Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588765010NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 085001943 (Illinois)Secondary
363AS0400XPhysician Assistant - Surgical 10002805A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Franciscan Health MunsterMunster, INHospital
Franciscan Health DyerDyer, INHospital
Franciscan Health Crown PointCrown point, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore University Healthsystem Faculty Practice Associates21633346991751
Franciscan Physician Network3072790682989

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. Jerome Laurence 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
Jerome Laurence Wilson, PA-C
Po Box 781076,
Detroit, MI 48278-1076

Ph: (317) 528-4800
Jerome Laurence Wilson, PA-C
919 Main St Ste 101,
Dyer, IN 46311-3717

Ph: (219) 836-7531

Reviews and Comments


Physician Assistant Nurses in Dyer, IN

Megan E Hilborn, MSPA, PA-C
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Phone: 219-922-7159    Fax: 219-922-4020
Sonia Rae Krengel, PA
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Phone: 219-922-3002    Fax: 219-922-3003
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Phone: 219-322-5747    Fax: 219-864-2282
Mrs. Tiffany Erin O'hern, PA-C
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Practice Location: 1532 Calumet Ave, Dyer, IN 46311
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Adara Simonelli,
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Phone: 219-865-2141    Fax: 219-933-2288
Ms. Erin Bartels, PA
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Practice Location: 919 Main St, Ste. 204, Dyer, IN 46311
Phone: 219-934-2495    Fax: 219-934-2479
Olivia Zaczyk, PA-C
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Medicare: Medicare Enrolled
Practice Location: 14785 W 101st Ave Ste 2a, Dyer, IN 46311
Phone: 219-228-4200    

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.