Terry Roger Wilson, PA in Monroe, LA - Physician Assistant

Terry Roger Wilson, PA is a Physician Assistant based in Monroe, Louisiana. Terry Roger Wilson is licensed to practice in Louisiana (license number 200134) and his current practice location is 920 Oliver Rd, Monroe, Louisiana. He can be reached at his office (for appointments etc.) via phone at (318) 812-7559.

NPI number for Terry Roger Wilson is 1235188301 and his current mailing address is 130 Desiard St, Suite 355, Monroe, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235188301.

Contact Information

	Terry Roger Wilson, PA
	920 Oliver Rd, Monroe, LA 71201-5702
	(318) 812-7559
	(318) 812-7563

Healthcare Provider's Profile

Full Name	Terry Roger Wilson
Gender	Male
Speciality	Physician Assistant
Location	920 Oliver Rd, Monroe, Louisiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1235188301
Provider Enumeration Date: 05/08/2006
Last Update Date: 06/13/2019

Medical Identifiers

Medical identifiers for Terry Roger Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235188301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OTT.Z11857 (Louisiana)	Secondary
363A00000X	Physician Assistant	200134 (Louisiana)	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. Terry Roger 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 Address	Practice Location Address
Terry Roger Wilson, PA 130 Desiard St, Suite 355, Monroe, LA 71201-7319 Ph: (318) 807-7875	Terry Roger Wilson, PA 920 Oliver Rd, Monroe, LA 71201-5702 Ph: (318) 812-7559

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Terry Roger Wilson, PA - in Monroe, LA