DR. JOHN CLARK WILCOX M.D.
NPI 1124036710
Family Medicine in Aurora, NE
NPI Status: Active since August 03, 2006
Contact Information
609 O ST
AURORA, NE
ZIP 68818
Phone: (402) 694-3191
Fax: (402) 694-2146
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About JOHN WILCOX
This page provides the complete NPI Profile along with additional information for John Wilcox, a primary care provider established in Aurora, Nebraska with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1124036710 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 12629 (NE). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1124036710
- Provider Name
- DR. JOHN CLARK WILCOX M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 609 O ST AURORA, NE 68818
- Location Phone
- (402) 694-3191
- Location Fax
- (402) 694-2146
- Mailing Address
- 609 O ST AURORA, NE 68818
- Mailing Phone
- (402) 694-3191
- Mailing Fax
- (402) 694-2146
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-03-2006
- Last Update Date
- 04-29-2014
- Code Navigator
A primary care provider (PCP) like John Wilcox sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 12629
- License State
- NE
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - EPO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B67607 | MEDICARE UPIN (02) | NE | |
| 260507 | MEDICARE ID-TYPE UNSPECIFIED (04) | NE | MEDICARE NUMBER |
| 0568 | OTHER (01) | NE | BCBS NUMBER |
Medicare Participation & PECOS Enrollment Status
John Wilcox is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 68818 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.2
- Minimum New Patient Price $52.69
- Maximum New Patient Price $160.21
- Average New Patient Copayment $20.3
- Minimum New Patient Copayment $13.17
- Maximum New Patient Copayment $40.05
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.55
- Minimum Established Patient Price $16.9
- Maximum Established Patient Price $131.25
- Average Established Patient Copayment $23.38
- Minimum Established Patient Copayment $4.22
- Maximum Established Patient Copayment $32.81
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JOHN CLARK WILCOX M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 3 | 6 | 7 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 3 | 12 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 3 + 1 + 2 + 7 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1124036710 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
KRISTEN J ANDERSON MPAC
Physician Assistant
609 O ST
AURORA, NE
ZIP 68818
MEMORIAL COMMUNITY HEALTH, INC
Family Medicine
609 O ST
AURORA, NE
ZIP 68818
DR. SCOTT ROGER JOHNSON M.D.
Family Medicine
609 O ST
AURORA, NE
ZIP 68818
DR. JEFFREY JOHN MUILENBURG M.D.
Family Medicine
609 O ST
AURORA, NE
ZIP 68818
DR. TIMOTHY JAMES WIDHALM M.D.
Family Medicine
609 O ST
AURORA, NE
ZIP 68818
DR. MARK DAVID JOBMAN M.D.
Family Medicine
609 O ST
AURORA, NE
ZIP 68818
DR. MICHAEL JOHN SULLIVAN M.D.
Family Medicine
609 O ST
AURORA, NE
ZIP 68818
KATHERINE E DAVIS ARNP
Nurse Practitioner
609 O ST
AURORA, NE
ZIP 68818
JENNIFER C HARNEY M.D.
Family Medicine
609 O ST
AURORA, NE
ZIP 68818
ALEXIS R. ERBST M.D.
Family Medicine
609 O ST
AURORA, NE
ZIP 68818
WHITNEY POLEN APRN, FNP-C
Nurse Practitioner
(Family)
609 O ST
AURORA, NE
ZIP 68818
MEMORIAL COMMUNITY HEALTH INC
Clinic/Center
(Rural Health)
609 O ST
AURORA, NE
ZIP 68818
MRS. JAMIE LEE DIBBERN FNP-C
Nurse Practitioner
(Family)
609 O ST
AURORA, NE
ZIP 68818
LOGAN MERTLIK PA
Physician Assistant
609 O ST
AURORA, NE
ZIP 68818
KACHINE MARIE BANAHAN APRN
Nurse Practitioner
609 O ST
AURORA, NE
ZIP 68818
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124036710, enumerated as an "individual" on August 03, 2006.
The provider is located at 609 O ST AURORA, NE 68818 and the phone number is (402) 694-3191.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska,. Please consult your insurance carrier or call the provider to verify.
