Jessica L Wilson, DO - Medicare Family Medicine in Beaverton, OR

Jessica L Wilson, DO is a medicare enrolled "Family Medicine" physician in Beaverton, Oregon. Her current practice location is 1960 Nw 167th Pl Ste 100, Beaverton, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 672-6000.

Jessica L Wilson is licensed to practice in Oregon (license number DO210423) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770024697.

Contact Information

Jessica L Wilson, DO
1960 Nw 167th Pl Ste 100,
Beaverton, OR 97006-4805
(503) 672-6000
Not Available



Physician's Profile

Full NameJessica L Wilson
GenderFemale
SpecialityFamily Medicine
Location1960 Nw 167th Pl Ste 100, Beaverton, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770024697
  • Provider Enumeration Date: 03/10/2017
  • Last Update Date: 12/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163756628
  • Enrollment ID: I20220606001125

Medical Identifiers

Medical identifiers for Jessica L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770024697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO210423 (Oregon)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. Jessica L Wilson allows following entities to bill medicare on her behalf.
Entity NameLegacy Good Samaritan Hospital And Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780608216
PECOS PAC ID: 0547179939
Enrollment ID: O20031125000416

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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. Jessica L 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
Jessica L Wilson, DO
1960 Nw 167th Pl Ste 100,
Beaverton, OR 97006-4805

Ph: () -
Jessica L Wilson, DO
1960 Nw 167th Pl Ste 100,
Beaverton, OR 97006-4805

Ph: (503) 672-6000

News Archive

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Family Medicine Doctors in Beaverton, OR

Philip W Pritchard, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1881 Nw 185th Ave, Suite 300, Beaverton, OR 97006
Phone: 503-216-9300    Fax: 503-216-9339
David Albert Pierce, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006
Phone: 503-646-0161    Fax: 503-221-4451
Dr. Carolyn Lee Goebel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005
Phone: 503-352-6000    
Dr. Gerald Wendal Miller, M.D,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1960 Nw 167th Place, Suite 103, Beaverton, OR 97006
Phone: 503-466-1823    Fax: 503-466-1823
Dr. Priscilla Butler, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005
Phone: 503-643-7565    
Vicki Lynne Reid, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005
Phone: 503-520-4863    
Vanessa H Mckiel, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005
Phone: 503-352-6000    

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