Jed Wilson, LICSW in Conway, NH - Medicare Clinical Social Worker Provider

Jed Wilson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Conway, New Hampshire. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 90 Odell Hill Rd, Conway, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 730-9154.

Jed Wilson is licensed to practice in New Hampshire (license number 2021) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1366831117.

Contact Information

	Jed Wilson, LICSW
	90 Odell Hill Rd, Conway, NH 03818-4401
	(603) 730-9154
	(603) 730-9154

Healthcare Provider's Profile

Full Name	Jed Wilson
Gender	Male
Speciality	Clinical Social Worker
Experience	10 Years
Location	90 Odell Hill Rd, Conway, New Hampshire
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jed Wilson graduated from medical school in 2014

NPI Data:

NPI Number: 1366831117
Provider Enumeration Date: 01/16/2015
Last Update Date: 03/12/2020

Medicare PECOS Information:

PECOS PAC ID: 6507116100
Enrollment ID: I20180831001001

Medical Identifiers

Medical identifiers for Jed Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366831117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2021 (New Hampshire)	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. Jed 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
Jed Wilson, LICSW Po Box 111, Center Conway, NH 03813-0111 Ph: (603) 730-9154	Jed Wilson, LICSW 90 Odell Hill Rd, Conway, NH 03818-4401 Ph: (603) 730-9154

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Social Worker in Conway, NH

Lauren S. Conley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 87 Washington St, Conway, NH 03818 Phone: 800-439-3347
Larry Gordon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 87 Washington St, Conway, NH 03818 Phone: 603-447-3347 Fax: 603-447-1022
Ms. Carolyn R Lucet, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Washington St, Suite #2, Conway, NH 03818 Phone: 603-387-6805 Fax: 603-356-7975
Charles Cotton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 87 Washington St, Conway, NH 03818 Phone: 800-439-3347
Michael Deluca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 W Main St, Conway, NH 03818 Phone: 603-447-2111 Fax: 603-447-1021
Gretchen Davidson, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 90 Odell Hill Rd, Conway, NH 03818 Phone: 603-730-2134
Judith A. Houghton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 87 Washington St, Conway, NH 03818 Phone: 800-439-3347

Jed Wilson, LICSW - Medicare Clinical Social Worker in Conway, NH