JEANETTE E. WILSON M.D. – NPI #1376926865
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JEANETTE WILSON is a physician located in SAINT CLAIR SHORES, MI. NPPES has assigned the NPI number 1376926865 to JEANETTE WILSON on July 02, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Jun 26, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEANETTE WILSON below.

NPI Profile for
JEANETTE E. WILSON

NPI Number
1376926865
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JEANETTE E. WILSON
Credentials
M.D.
Primary location
21099 MASONIC BLVD
SAINT CLAIR SHORES, MI 48082
Phone: (586) 296-6213 Fax:
1 Other location(s):
24911 Little Mack Ave
Suite C
Saint Clair Shores, MI 48080-3200
Phone: (586) 777-2050
Fax: (586) 777-2189
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MI 4301108210
390200000X
- Student in an Organized Health Care Education/Training Program		 MI 4301108210

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEANETTE WILSON is affiliated with the following medical group(s):
  • HOSPITAL
    • ASCENSION ST JOHN HOSPITAL
      22101 MOROSS RD
      DETROIT, MI 48236

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