Mr Jeffrey Lynn Wilson, FNP-BC - Medicare Clinical Nurse Specialist in Ooltewah, TN

Mr Jeffrey Lynn Wilson, FNP-BC is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Ooltewah, Tennessee. His current practice location is 5516 Barons Pt, Ooltewah, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 987-5333.

Mr Jeffrey Lynn Wilson is licensed to practice in Tennessee (license number 19891) 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 1073909883.

Contact Information

Mr Jeffrey Lynn Wilson, FNP-BC
5516 Barons Pt,
Ooltewah, TN 37363-8875
(423) 987-5333
Not Available



Provider's Profile

Full NameMr Jeffrey Lynn Wilson
GenderMale
SpecialityClinical Nurse Specialist - Family Health
Location5516 Barons Pt, Ooltewah, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073909883
  • Provider Enumeration Date: 04/08/2015
  • Last Update Date: 04/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3577857457
  • Enrollment ID: I20160816001604

Medical Identifiers

Medical identifiers for Mr Jeffrey Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073909883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SF0001XClinical Nurse Specialist - Family Health 19891 (Tennessee)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 Jeffrey Lynn 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
Mr Jeffrey Lynn Wilson, FNP-BC
5516 Barons Pt,
Ooltewah, TN 37363-8875

Ph: (423) 987-5333
Mr Jeffrey Lynn Wilson, FNP-BC
5516 Barons Pt,
Ooltewah, TN 37363-8875

Ph: (423) 987-5333

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› Verified 9 days ago


Clinical Nurse Specialist Nurses in Ooltewah, TN

Ian Mall,
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 9981 Forrest Dr, Ooltewah, TN 37363
Phone: 423-362-8192    

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