Mr Jimmie Joe Wilson, PT - Medicare Physical Therapist in Joplin, MO

Mr Jimmie Joe Wilson, PT is a medicare enrolled "Physical Therapist" provider in Joplin, Missouri. His current practice location is 2727 Mc Clelland Blvd, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 625-2190.

Mr Jimmie Joe Wilson is licensed to practice in Missouri (license number 110637) 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 1053531939.

Contact Information

Mr Jimmie Joe Wilson, PT
2727 Mc Clelland Blvd,
Joplin, MO 64804-1626
(417) 625-2190
(417) 625-2097



Healthcare Provider's Profile

Full NameMr Jimmie Joe Wilson
GenderMale
SpecialityPhysical Therapist
Location2727 Mc Clelland Blvd, Joplin, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053531939
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6002283322
  • Enrollment ID: I20221031001503

Medical Identifiers

Medical identifiers for Mr Jimmie Joe Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053531939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 110637 (Missouri)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. Mr Jimmie Joe Wilson allows following entities to bill medicare on his behalf.
Provider NameJ&l Wilson Enterprises Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1346966017
PECOS PAC ID: 5193192417
Enrollment ID: O20221029000197

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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. Mr Jimmie Joe 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 Jimmie Joe Wilson, PT
25465 Leffen Ln,
Joplin, MO 64801-6366

Ph: (417) 623-6384
Mr Jimmie Joe Wilson, PT
2727 Mc Clelland Blvd,
Joplin, MO 64804-1626

Ph: (417) 625-2190

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Physical Therapist in Joplin, MO

Ms. Marie Shireman, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2727 Mc Clelland Blvd, Joplin, MO 64804
Phone: 417-781-2727    
Ma. Estela Lopez Ortaleza, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2700 E 34th St, Joplin, MO 64804
Phone: 417-781-1737    
Mr. Emmanuel Fernandez, RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 214 W 5th St, Suite D & E, Joplin, MO 64801
Phone: 417-782-2917    
Trent Moore, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1227 E 32nd St, Ste 7, Joplin, MO 64804
Phone: 417-624-7400    Fax: 417-624-7403
Mr. William Ellerd Dierks, PHYSICAL THERAPIST
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3105 Mc Clelland Blvd, Suite 101, Joplin, MO 64804
Phone: 417-623-5560    Fax: 417-634-5740
Stacy Michelle Jones, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1227 E 32nd St Ste 7, Joplin, MO 64804
Phone: 417-624-7400    Fax: 417-624-7403

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