Jerry Don Wilson, PA-C is a medicare enrolled "Physician Assistant" in Shamrock, Texas. His current practice location is
1010 S Main St, Shamrock, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 256-5148.
Jerry Don Wilson is licensed to practice in Texas (license number PA00189) 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 1023267697.
Provider's Profile
Full Name | Jerry Don Wilson |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1010 S Main St, Shamrock, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023267697
- Provider Enumeration Date: 09/18/2008
- Last Update Date: 09/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 0446621205
- Enrollment ID: I20230116000023
Medical Identifiers
Medical identifiers for Jerry Don Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023267697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA00189 (Texas) | Primary |
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. Jerry Don 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 |
Jerry Don Wilson, PA-C 1010 S Main St, Shamrock, TX 79079-2820 Ph: (806) 256-5148 | Jerry Don Wilson, PA-C 1010 S Main St, Shamrock, TX 79079-2820 Ph: (806) 256-5148 |
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