Dr Jonathan B Wilson, DO, DPT is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Birmingham, Alabama. His current practice location is
625 19th St S, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 934-6957.
Dr Jonathan B Wilson is licensed to practice in * (Not Available) (license number ) 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 1811363575.
Healthcare Provider's Profile
| Full Name | Dr Jonathan B Wilson |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 625 19th St S, Birmingham, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811363575
- Provider Enumeration Date: 08/18/2015
- Last Update Date: 05/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214245620
- Enrollment ID: I20250725002825
Medical Identifiers
Medical identifiers for Dr Jonathan B Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811363575 | NPI | - | NPPES |
| 511-68556 | Other | AL | BCBS OF AL |
| 511-68569 | Other | AL | BCBS OF AL |
| P01586197 | Other | AL | MEDICARE RR |
| 13765704 | Other | AL | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PTH7703 (Alabama) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Jonathan B 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 |
|---|
Dr Jonathan B Wilson, DO, DPT
625 19th St S,
Birmingham, AL 35233-1900
Ph: (205) 934-6957 | Dr Jonathan B Wilson, DO, DPT
625 19th St S,
Birmingham, AL 35233-1900
Ph: (205) 934-6957 |
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