Mr Jack Kenney Wilson Jr, MD - Internal Medicine in Wilmington, NC

Mr Jack Kenney Wilson Jr, MD is a Internal Medicine physician based in Wilmington, North Carolina. Mr Jack Kenney Wilson Jr is licensed to practice in North Carolina (license number 16755) and his current practice location is 637 S Kerr Ave, Wilmington, North Carolina. He can be reached at his office (for appointments etc.) via phone at (910) 799-1810.

NPI number for Mr Jack Kenney Wilson Jr is 1356349559 and his current mailing address is 637 S Kerr Ave, Wilmington, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356349559.

Contact Information

Mr Jack Kenney Wilson Jr, MD
637 S Kerr Ave,
Wilmington, NC 28403-8423
(910) 799-1810
(910) 452-2571



Physician's Profile

Full NameMr Jack Kenney Wilson Jr
GenderMale
SpecialityInternal Medicine
Location637 S Kerr Ave, Wilmington, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356349559
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 09/20/2012

Medical Identifiers

Medical identifiers for Mr Jack Kenney Wilson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356349559NPI-NPPES
02701OtherNCBCBS NC
8902701MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 16755 (North Carolina)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. Mr Jack Kenney Wilson Jr 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
Mr Jack Kenney Wilson Jr, MD
637 S Kerr Ave,
Wilmington, NC 28403-8423

Ph: (910) 799-1810
Mr Jack Kenney Wilson Jr, MD
637 S Kerr Ave,
Wilmington, NC 28403-8423

Ph: (910) 799-1810

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› Verified 9 days ago


Internal Medicine Doctors in Wilmington, NC

Dr. James Carden Mccabe, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1302 Medical Center Dr, Wilmington, NC 28401
Phone: 910-343-9800    Fax: 910-343-9800
Michael Mundy Ward, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2215 Canterwood Dr, Wilmington, NC 28401
Phone: 910-762-4600    Fax: 910-762-9483
Latessa Spiers, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1960 S 16th St, Wilmington, NC 28401
Phone: 910-343-9991    
Dr. Kavita S Persaud, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5919 Oleander Dr Ste 109, Wilmington, NC 28403
Phone: 910-799-5508    Fax: 910-202-0654
Dr. Regina Marie Jensen, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4536 Technology Dr, Ste 3, Wilmington, NC 28405
Phone: 910-343-8411    Fax: 910-343-8414
Mary Kathryn Rudyk, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1709 S 16th St Ste A, Wilmington, NC 28401
Phone: 910-452-8633    Fax: 910-452-8569
Gregory Roberts, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1202 Medical Center Dr, Wilmington, NC 28401
Phone: 910-341-3300    Fax: 910-341-7946

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