Jdee Ryan Wilson, MD - Medicare Psychiatry & Neurology in Blackfoot, ID

Jdee Ryan Wilson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Blackfoot, Idaho. His current practice location is 700 E Alice St, State Hospital South, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 785-1200.

Jdee Ryan Wilson is licensed to practice in Idaho (license number M9137) 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 1598828816.

Contact Information

Jdee Ryan Wilson, MD
700 E Alice St, State Hospital South,
Blackfoot, ID 83221
(208) 785-1200
(208) 785-8516



Physician's Profile

Full NameJdee Ryan Wilson
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location700 E Alice St, Blackfoot, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598828816
  • Provider Enumeration Date: 12/18/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3779540497
  • Enrollment ID: I20041214001121

Medical Identifiers

Medical identifiers for Jdee Ryan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598828816NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry M9137 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jdee Ryan Wilson allows following entities to bill medicare on his behalf.
Entity NameMental Health Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548585458
PECOS PAC ID: 1658665427
Enrollment ID: O20160802003169

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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. Jdee Ryan 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 AddressPractice Location Address
Jdee Ryan Wilson, MD
700 E Alice St, State Hospital South,
Blackfoot, ID 83221

Ph: (208) 785-1200
Jdee Ryan Wilson, MD
700 E Alice St, State Hospital South,
Blackfoot, ID 83221

Ph: (208) 785-1200

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Psychiatry & Neurology Doctors in Blackfoot, ID

Dr. Kelly Page Palmer, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 700 East Alice Street, Blackfoot, ID 83221
Phone: 208-785-8517    Fax: 208-785-8516
Andrew L Olnes, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 700 E Alice St, Blackfoot, ID 83221
Phone: 208-785-1200    Fax: 208-785-8516

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