Dr Johnny M Wilson, MD - Family Medicine in Willow Park, TX

Dr Johnny M Wilson, MD is a Family Medicine physician based in Willow Park, Texas. Dr Johnny M Wilson is licensed to practice in Texas (license number L4177) and his current practice location is 136 El Chico Trl, Suite 103, Willow Park, Texas. He can be reached at his office (for appointments etc.) via phone at (817) 441-1441.

NPI number for Dr Johnny M Wilson is 1114910080 and his current mailing address is 136 El Chico Trl, Suite 103, Willow Park, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114910080.

Contact Information

Dr Johnny M Wilson, MD
136 El Chico Trl, Suite 103,
Willow Park, TX 76087-8863
(817) 441-1441
(817) 441-1443



Physician's Profile

Full NameDr Johnny M Wilson
GenderMale
SpecialityFamily Medicine
Location136 El Chico Trl, Willow Park, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114910080
  • Provider Enumeration Date: 08/25/2005
  • Last Update Date: 03/29/2010

Medical Identifiers

Medical identifiers for Dr Johnny M Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114910080NPI-NPPES
1164502OtherTXAFFILIATED HEALTHCARE
L4177OtherTXUNICARE
0072KCOtherTXBLUE CROSS BLUE SHIELD
0082174OtherTXBLUE LINK
1354278OtherTXFOCUS
7111148OtherTXAETNA/TRS COORDINATED CAR
158350203MedicaidTX
158350201MedicaidTX
WILJC67146OtherTXCHIP HEALTHPLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine L4177 (Texas)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 Johnny M Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Johnny M Wilson, MD
136 El Chico Trl, Suite 103,
Willow Park, TX 76087-8863

Ph: (817) 441-1441
Dr Johnny M Wilson, MD
136 El Chico Trl, Suite 103,
Willow Park, TX 76087-8863

Ph: (817) 441-1441

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Family Medicine Doctors in Willow Park, TX

Ms. Fiona Giretta Atitso, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Crown Pointe Blvd Ste 200, Willow Park, TX 76087
Phone: 817-599-7661    Fax: 817-599-8408
Marina Coulter, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 101 Crown Pointe Blvd Ste 200, Willow Park, TX 76087
Phone: 817-599-7661    Fax: 817-599-8408
Jeremy Chad Everett, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Crown Pointe Blvd Ste 220, Willow Park, TX 76087
Phone: 817-757-1678    Fax: 817-757-1679
Agna Elizabeth Bailey, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Crown Pointe Blvd Ste 200, Willow Park, TX 76087
Phone: 817-599-7661    Fax: 817-599-8408
Jessica Danielle Williams, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5700 E Interstate 20 Service Rd S, Ste 100, Willow Park, TX 76008
Phone: 817-489-7300    Fax: 817-489-7302

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