DR. JACK T WILSON III D.M.D.
NPI 1396880902
Dentist - General Practice in Louisville, KY
NPI Status: Active since February 21, 2007
Contact Information
12010 SHELBYVILLE RD
SUITE 200
LOUISVILLE, KY
ZIP 40243
Phone: (502) 583-4771
Fax: (502) 584-9922
- Individual
- Male
- Dentist
- General Practice
- PECOS Enrolled
About JACK WILSON III
This page provides the complete NPI Profile along with additional information for Jack Wilson Iii, a provider established in Louisville, Kentucky with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1396880902 assigned on February 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 5247 (KY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1396880902
- Provider Name
- DR. JACK T WILSON III D.M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12010 SHELBYVILLE RD SUITE 200 LOUISVILLE, KY 40243
- Location Phone
- (502) 583-4771
- Location Fax
- (502) 584-9922
- Mailing Address
- 12010 SHELBYVILLE RD SUITE 200 LOUISVILLE, KY 40243
- Mailing Phone
- (502) 583-4771
- Mailing Fax
- (502) 584-9922
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-21-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Jack Wilson Iii is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
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
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 5247
- License State
- KY
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
|---|---|---|---|
| 5247 | OTHER (01) | KY | DENTIST - GENERAL PRACTIT |
Medicare Participation & PECOS Enrollment Status
Jack Wilson Iii 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) and a Home Health Agency (HHA).
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: No
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 40243 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.24
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $20.56
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.24
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $16.56
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* 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. JACK T WILSON III D.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 | 3 | 9 | 6 | 8 | 8 | 0 | 9 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 16 | 8 | 0 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 6 + 8 + 0 + 9 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1396880902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
SHANNON LEIGH SMITH ARNP
Nurse Practitioner
12010 SHELBYVILLE RD
STE 500
LOUISVILLE, KY
ZIP 40243
CHARLES SMITH MD
Emergency Medicine
12010 SHELBYVILLE RD
SUITE 500
LOUISVILLE, KY
ZIP 40243
MIDDLETOWN MEDICAL GROUP
Internal Medicine
12010 SHELBYVILLE RD
SUITE 300
LOUISVILLE, KY
ZIP 40243
BAPTIST COMMUNITY HEALTH SERVICES
Emergency Medicine
(Emergency Medical Services)
12010 SHELBYVILLE RD
LOUISVILLE, KY
ZIP 40243
DR. WILLIAM BRADLEY KING M.D.
Emergency Medicine
12010 SHELBYVILLE RD
SUITE 500
LOUISVILLE, KY
ZIP 40243
DR. VINCENT JOSEPH LANG MD
Family Medicine
12010 SHELBYVILLE RD
SUITE 400
LOUISVILLE, KY
ZIP 40243
MICHAEL DAVIS MD
Internal Medicine
12010 SHELBYVILLE RD
SUITE 400
LOUISVILLE, KY
ZIP 40243
DR. SURAJ K GATHANI M.D.
Family Medicine
12010 SHELBYVILLE RD
SUITE 500
LOUISVILLE, KY
ZIP 40243
DR. ALEXANDER E MORGAN MD
Preventive Medicine
(Occupational Medicine)
12010 SHELBYVILLE RD
SUITE 500
LOUISVILLE, KY
ZIP 40243
DR. FRANCIS BENG KIAT ONG MD
Emergency Medicine
12010 SHELBYVILLE RD
SUITE 500
LOUISVILLE, KY
ZIP 40243
DR. SCOTT A. YOUNG M.D.
Internal Medicine
12010 SHELBYVILLE RD
SUITE 300
LOUISVILLE, KY
ZIP 40243
SCOTT A. YOUNG M.D., PSC
Internal Medicine
12010 SHELBYVILLE RD
SUITE 300
LOUISVILLE, KY
ZIP 40243
DR. MARK A. WILLIAMS M.D.
Internal Medicine
12010 SHELBYVILLE RD
SUITE 300
LOUISVILLE, KY
ZIP 40243
MARK WILLIAMS M.D., LLC
Internal Medicine
12010 SHELBYVILLE RD
SUITE 300
LOUISVILLE, KY
ZIP 40243
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396880902, enumerated as an "individual" on February 21, 2007.
The provider is located at 12010 SHELBYVILLE RD SUITE 200 LOUISVILLE, KY 40243 and the phone number is (502) 583-4771.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
