| Terry Roger Wilson, PA | |
|
920 Oliver Rd, Monroe, LA 71201-5702 | |
| (318) 812-7559 | |
| (318) 812-7563 |
| Full Name | Terry Roger Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 920 Oliver Rd, Monroe, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235188301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 200134 (Louisiana) | Primary |
| 225X00000X | Occupational Therapist | OTT.Z11857 (Louisiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baton Rouge Clinic, A Medical Corporation | 1254317001 | 285 |
| Entity Name | Baton Rouge Clinic, a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871546911 PECOS PAC ID: 1254317001 Enrollment ID: O20040624000911 |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Roger Wilson, PA 130 Desiard St, Suite 355, Monroe, LA 71201-7319 Ph: (318) 807-7875 | Terry Roger Wilson, PA 920 Oliver Rd, Monroe, LA 71201-5702 Ph: (318) 812-7559 |
Mr. Jonathan D Brewer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7626 Fax: 318-330-7648 |
Marquis Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 |
Mr. Jeb Andrews, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2509 Broadmoor Blvd, Ste B, Monroe, LA 71201 Phone: 878-381-3823 |
Shannon Kathleen Chappell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7000 |
Erin N Cantu, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2804 Forsythe Ave, Monroe, LA 71201 Phone: 318-388-0033 |
Michael Kyle Hendricks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-2397 |
Miss Logan Jannell Rhodes, Physician Assistant Medicare: Medicare Enrolled Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4000 |