Mrs Johnnie S Wilson, is a medicare enrolled "Nurse Practitioner - Family" in Newton, Texas. She graduated from nursing school in 1996 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gulf Coast Health Center Inc and her current practice location is
207 E Court St, Newton, Texas. You can reach out to her office (for appointments etc.) via phone at
(409) 379-2647.
Mrs Johnnie S Wilson is licensed to practice in Texas (license number 535111) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275509580.
Provider's Profile
| Full Name | Mrs Johnnie S Wilson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 30 Years |
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| Location | 207 E Court St, Newton, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Johnnie S Wilson graduated from nursing school in 1996
NPI Data:
- NPI Number: 1275509580
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 06/27/2013
Medicare PECOS Information:
- PECOS PAC ID: 3274765078
- Enrollment ID: I20140409001931
Medical Identifiers
Medical identifiers for Mrs Johnnie S Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275509580 | NPI | - | NPPES |
| 535111 | Other | TX | RN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 535111 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gulf Coast Health Center Inc | 5597675215 | 12 |
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. Mrs Johnnie S Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Gulf Coast Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912904897
PECOS PAC ID: 5597675215
Enrollment ID: O20040105000446 |
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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. Mrs Johnnie S 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 |
|---|
Mrs Johnnie S Wilson,
3406 College St, Attn: Legal Dept.,
Beaumont, TX 77701-4612
Ph: (409) 813-2332 | Mrs Johnnie S Wilson,
207 E Court St,
Newton, TX 75966-3203
Ph: (409) 379-2647 |
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