Dr Donald Lester Wilson Jr, PHD - Medicare Psychologist in Fort Wayne, IN

Dr Donald Lester Wilson Jr, PHD is a medicare enrolled "Psychologist - Counseling" provider in Fort Wayne, Indiana. His current practice location is 2121 Lake Ave, Va Nihcs, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 426-5431.

Dr Donald Lester Wilson Jr is licensed to practice in Indiana (license number 20041034A) 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 1154429348.

Contact Information

Dr Donald Lester Wilson Jr, PHD
2121 Lake Ave, Va Nihcs,
Fort Wayne, IN 46805-5100
(260) 426-5431
(260) 460-1481



Healthcare Provider's Profile

Full NameDr Donald Lester Wilson Jr
GenderMale
SpecialityPsychologist - Counseling
Location2121 Lake Ave, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154429348
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9830373448
  • Enrollment ID: I20110406000198

Medical Identifiers

Medical identifiers for Dr Donald Lester Wilson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154429348NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 20041034A (Indiana)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. Dr Donald Lester Wilson Jr 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
Dr Donald Lester Wilson Jr, PHD
726 West Superior Street,
Fort Wayne, IN 46802-1017

Ph: (260) 615-1173
Dr Donald Lester Wilson Jr, PHD
2121 Lake Ave, Va Nihcs,
Fort Wayne, IN 46805-5100

Ph: (260) 426-5431

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