Brenda Wilson, is a
Counselor - Addiction (substance Use Disorder) based in King Cove, Alaska. Brenda Wilson is licensed to practice in Alaska (license number 2945) and her current practice location is
100 Slocum Drive, King Cove, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 497-2311.
NPI number for Brenda Wilson is 1972082592 and her current mailing address is Po Box 9, King Cove, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972082592.
Healthcare Provider's Profile
| Full Name | Brenda Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 100 Slocum Drive, King Cove, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972082592
- Provider Enumeration Date: 08/14/2018
- Last Update Date: 08/14/2018
Medical Identifiers
Medical identifiers for Brenda Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972082592 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2945 (Alaska) | 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. Brenda Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brenda Wilson,
Po Box 9,
King Cove, AK 99612-0009
Ph: (907) 497-2311 | Brenda Wilson,
100 Slocum Drive,
King Cove, AK 99612-0009
Ph: (907) 497-2311 |
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