Family Medicine

What specialties are included in primary care?

Primary care is a term used to encompass the specialties of Family Medicine, Internal Medicine, Pediatrics, and General Obstetrics & Gynecology.

What does a primary care provider do and why do I need one?

Simply put, your primary care provider (PCP) takes care of you in good times and in bad! Beyond helping you to stay healthy through routine check-ups and vaccinations, a PCP helps you manage chronic diseases like diabetes or high blood pressure while also treating minor illnesses like the flu, colds and viruses.

PCPs often serve as the entry point for all your healthcare needs. Most of the time, you will be required to see a PCP before you can visit a subspecialty office, get bloodwork taken, undergo imaging studies or receive a prescription for medication.

How often should I see my primary care provider if I’m not sick?

A healthy person with no chronic conditions should see his/her primary care provider at least once per year for a routine check-up (also referred to as a well visit) and to catch up on any necessary vaccinations.

A person with a chronic condition should see his/her primary care provider as often as the provider has recommended for appropriate follow-up care. This could be every six months, every three months or even monthly depending on your unique needs.

What is a care team and who is on mine?

A care team is a group of professionals dedicated to enhancing your health and well-being through collaboration with one another and with you.

Patients of NEPA Community Health Care have their primary care provider (a physician or nurse practitioner), behavioral health provider (nurse practitioner or therapist), dental provider (dentist and hygienist), care managers, nursing and front desk staff on their team!

Does NEPA Community Health Care accept my insurance?

Most likely, yes. NEPA Community Health Care accepts most insurances, including PA Medicaid, Medicare, commercial (through your employer), Pennie plans and self-pay patients. To ask about your specific health coverage, please call our Billing office at (570) 278-5156.

What kinds of procedures are done in a primary care office?

Procedures commonly performed in a primary care office include musculoskeletal injections, EKGs, pap smears, lab draws, allergy injections, vaccinations, skin procedures such as wart removals or cyst drainage, and contraceptive injections or implants.

What if I get sick when your centers are closed?

If you become ill outside of routine office hours, simply call the health center at (570) 278-7500 and speak with our answering service. The operator will then connect you with the provider on-call.

For medical emergencies, call 911 or go to the nearest hospital. For mental health crises, call (570) 348-6100 or text 988.

Please note that prescription refills are processed during normal business hours only.

Family Practitioners care for patients during every stage of life, from infancy through adulthood and into older age. One of the greatest privileges of practicing Family Medicine is the ability to care for generations of the same family, sharing in your joys and serving as a support during the more difficult seasons of life.

Our providers value the long-standing relationships built with their patients and do not take the trust you place in them for granted.

Common Reasons to Seek Care:

  • Workplace & DOT Physicals
  • Annual Well Exams
  • Immunizations
  • Preventive Care | Screenings and Health Maintenance
  • Chronic Disease Management | Hypertension, Diabetes, Respiratory or Cardiac Diseases, etc.
  • Minor Injuries, Aches and Pains
  • Referrals to Specialty Care
  • Follow-up Care after Hospitalizations & ER Visits
  • Lab Draws (blood work)
  • Sick Visits | Earaches, Sore Throats, Head/Chest Colds, Flu-like Symptoms


When should I start bringing my baby to see a primary care provider?

Newborns should start seeing a primary care provider immediately after birth. We typically see babies within three (3) days of discharge from the hospital.

What is NEPA Community Health Care’s stance on immunizations?

Our providers are advocates of childhood immunizations and will encourage parents to vaccinate their children. That being said, we also want parents to ask questions and voice any concerns they may have!

Parents who choose not to vaccinate their children will not be denied care but are required to sign a declination waiver.

Can my child be seen the same day for a sick visit?

In most cases, yes! It is standard practice at NEPA Community Health Care to reserve appointment slots in every provider’s schedule for walk-ins and same-day sick visits. We will do everything we can to ensure your child is seen the same day.

What if my child is afraid of doctors?

We understand that most children are reluctant to visit the doctor. Our kind and compassionate staff of nurses and providers treat each child as an individual and understand that a little patience goes a long way.

We want to work with parents to make your child’s visit as positive of an experience as possible for you both!

What if my child gets sick when your centers are closed?

If your child becomes ill outside of routine office hours, simply call the health center at (570) 278-7500 and speak with our answering service. The operator will then connect you with the provider on-call.

For medical emergencies, call 911 or go to the nearest hospital. For mental health crises, call (570) 348-6100.

Please note that prescription refills are processed during normal business hours only.

doctor examining child

Our providers have a passion for creating a supportive environment to help children grow up happy and healthy! We want to work with parents to set goals for their child’s health and wellbeing.

In addition to the treatment of acute and chronic conditions, NEPA Community Health Care also offers oral health screenings and provides fluoride varnish treatments during annual pediatric well-visits.

Common Reasons to Seek Care:

  • Immunizations & Physical Exams
  • Health Screenings | Lead, Hearing & Vision
  • Asthma
  • Childhood Obesity
  • Attention-Deficit Hyperactivity Disorder (ADHD)
  • Sick Visits | Earaches, Sore Throats, Head/Chest Colds, Flu-like Symptoms

Women’s Health

What wellness services are available to women?

The following wellness services are available to our female patients:

  • Annual, well-woman checkups
  • Pap smears
  • Family planning and contraception
  • Sexually transmitted disease testing
Does NEPA Community Health Care provide pregnancy care?

Yes, Dr. Wilcox sees patient with normal and high-risk pregnancies. See the section below for details of our pregnancy and postpartum services.

Do I still need to see a gynecologist if I’m already having an annual exam with my primary care provider?

No, you can usually have routine gynecological care with your primary care provider. Your provider will refer you to Dr. Wilcox if your care necessitates it.

Can I get birth control through my primary care provider?

Yes, most of our primary care providers can prescribe all forms of birth control including IUDs (Mirena, Kyleena or Paragard), implants (Nexplanon), injections (Depo-Provera), oral contraceptives (the pill), transdermal contraceptives (the patch), and vaginal contraceptives (the ring). We also provide condoms free of charge.

Can I plan a tubal sterilization or other gynecologic surgery?

Yes. With the exception of hysterectomy, Dr. Wilcox performs the full spectrum of gynecologic surgery.  This includes tubal sterilization, endometrial ablation, surgery for abnormal pap smears, and laparoscopy. If you need a hysterectomy, Dr. Wilcox will refer you to a surgeon who provides that procedure.

Where are gynecologic surgeries performed?

Dr. Wilcox can perform surgeries at the Endless Mountains Health System in Montrose or at Moses Taylor Hospital in Scranton. We also offer in-office care for many minor procedures.

When is it appropriate for my daughter to begin women’s health exams?

The American College of OB/GYN recommends that women begin to seek gynecologic services when they are 15 years of age, or when they begin sexual activity, whichever comes first. Most initial visits will NOT require a pelvic examination. You can receive counselling, contraception and testing for sexually transmitted diseases WITHOUT have a pelvic examination.

Can I request that a nurse stay in the room during exams/procedures?

Yes, we provide medical chaperones for all patients during intimate exams and are on-demand even during routine visits.

Our Women’s Health service line includes all services needed for the health and wellness needs that are unique to women. NEPA Community Health Care is dedicated to providing this vital aspect of primary care within one medical home.

Nearly all our providers perform annual-well-woman checkups, pap smears, family planning, pregnancy tests and screening for sexually transmitted diseases (when applicable). In addition, Dr. Wilcox is a board-certified Obstetrician/Gynecologist and provides pregnancy care for all patients, including those with high-risk pregnancies. He can also evaluate and treat other conditions unique to women including infertility, heavy or irregular menstrual bleeding, painful menses, pelvic pain, vaginal disorders, polycystic ovary syndrome, endometriosis, breast disease and menopause.

Common Reasons to Seek Care:

  • Annual GYN Exams
  • PAP Tests
  • Family Planning
  • STD Testing

Pregnancy & Postpartum Care

What are the advantages to prenatal care with NEPA Community Health Care?

Dr. Wilcox serves all three of our health centers so you can receive care where you need it and when you need it. There is no need to travel outside the area for your pregnancy visits. We provide the same level of care available at any other obstetric provider. This gives you the advantage of having consistent, high-quality care close to home with a provider who already knows you, your unique health needs and your family history.

Will I have to go to a specific hospital to give birth?

No, you choose where you want to deliver your baby. Our prenatal team will assist you in planning and coordinating where you will deliver. We will communicate with that facility and send your records to them so they will be expecting your arrival. NEPA Community Health Care maintains affiliations with Moses Taylor Hospital and Wayne Memorial Hospital so if a patient is unsure where to go, we will recommend one of our partner hospitals.

What happens if my pregnancy is “high-risk”?

Dr. Wilcox has over 20 years of obstetric experience and can take care of nearly all patients. Most patient with high-risk conditions will also need to see a Maternal-Fetal Medicine specialist. Dr. Wilcox and our prenatal team will coordinate visits and testing with all specialists.

How can I be sure that everyone will know my birth plan?

Our experienced team facilitates the transfer of your medical records to the birthing facility of your choice after each office visit. We also arrange for any necessary inductions of labor or cesarean deliveries. We assure that the facility you choose will be expecting your arrival and have all your information.

What happens after I have my baby?

After you leave the hospital, Dr. Wilcox will see you and perform all your postpartum care at NEPA Community Health’s offices. Our other primary care providers will also be able to care for your newborn child if desired.

NEPA Community Health Care provides care for women during and after pregnancy. Dr. Wilcox is a board-certified Obstetrician and provides care for both normal and high-risk pregnancies. Dr. Wilcox does not perform deliveries but will arrange for your delivery with one of several local hospitals including Moses Taylor (Scranton) and Wayne Memorial (Honesdale). This includes normal, spontaneous labor and cesarean deliveries.

Even though he will not perform the birth itself, Dr. Wilcox will care for you at all your office visits, from the time you are contemplating a pregnancy until the day you deliver. We are committed to providing expectant moms with outstanding, accessible, comprehensive care during pregnancy.

Medication-Assisted Treatment

What are MAT services and who are they for?

Medication-assisted treatment or MAT is a method of treating patients with substance use disorder. In simplest terms, MAT utilizes a combination of prescribed medications to curb addiction cravings and mandates that patients actively participate in drug and alcohol counseling.

Who do I ask about getting treatment?

Patients interested in receiving MAT services should make an appointment to speak with their primary care provider about next steps.

What is NEPA Community Health Care’s process for starting treatment?

NEPA Community Health Care will assist patients in scheduling their initial assessment with a Drug & Alcohol Counselor. Once a patient has been established with counseling, the two organizations work to coordinate a plan of care and the patient returns to the health center to begin medical treatment.

What if I stop going to the D & A Counselor?

If you stop attending and are subsequently discharged from treatment with your Drug & Alcohol Counselor for nonattendance, NEPA Community Health Care will be unable to prescribe your MAT medication until you are able to reengage with their services. However, your medical appointments with NEPA Community Health Care will still be kept, and you will be provided with supportive and/or mental health services during this time.

How can I connect a loved one with your services?

It can be difficult to accept help, especially when it feels like we’re being forced into it. Loved ones of those with substance use disorder should know that patients can make an appointment with NEPA Community Health Care or a Drug & Alcohol Counseling provider at any time to begin the evaluation process or to simply discuss the program in detail before scheduling the appropriate next steps for treatment.

How much am I supposed to share with the provider?

In order for your medical provider to deliver the highest quality of care during this difficult time, it is vital that you share as much information as possible. The more your provider knows about your unique situation, the more resources and support s/he will be able to provide you with both now and in the future. None of the information shared will be used to penalize you or negatively impact your care in any way!

Is there really an “opioid crisis” happening right now?

Yes! The Pennsylvania Department of Health has declared the prescription opioid and heroin overdose epidemic as the worst public health crisis in the state. We feel it is the responsibility of every health care organization to play its part in ending this epidemic. To learn more, click here to visit the PA DoH website.

Medication-assisted treatment (MAT) is an evidence-based method which utilizes a combination of pharmacotherapy and behavioral health services to treat substance use disorders. This treatment option is a collaborative effort between NEPA Community Health Care and regional Drug & Alcohol Counseling organizations, such as CleanSlate, DATS or Trehab.

In order to participate in the program, patients must consent to receive care from both organizations. NEPA Community Health Care prescribes and manages the patient’s medication and overall treatment process, while the chosen D & A organization provides counseling and support services through a Certified Recovery Specialist.

Please note: NEPA Community Health Care does not provide pain management services and will not prescribe controlled substances for pain management under any circumstances.

Common Reasons to Seek Care:

  • Opioid Use
  • Alcohol Use