Terry Roger Wilson, PA is a medicare enrolled "Physician Assistant" provider in Monroe, Louisiana. He graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Baton Rouge Clinic, A Medical Corporation and his current practice location is
920 Oliver Rd, Monroe, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 812-7559.
Terry Roger Wilson is licensed to practice in Louisiana (license number 200134) 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 1235188301.
Healthcare Provider's Profile
| Full Name | Terry Roger Wilson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 19 Years |
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| Location | 920 Oliver Rd, Monroe, Louisiana |
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| Accepts Medicare Assignments | Yes. He 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:
- Terry Roger Wilson graduated from medical school in 2007
NPI Data:
- NPI Number: 1235188301
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 06/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830285402
- Enrollment ID: I20071011000558
Medical Identifiers
Medical identifiers for Terry Roger Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235188301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OTT.Z11857 (Louisiana) | Secondary |
| 363A00000X | Physician Assistant | 200134 (Louisiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Baton Rouge Clinic, A Medical Corporation | 1254317001 | 266 |
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. Terry Roger 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 |
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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 |
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