Mrs Demecka Wilson, is a
Case Manager/care Coordinator based in Fayette, Mississippi. Mrs Demecka Wilson is licensed to practice in Louisiana (license number ) and her current practice location is
1138 Puffer Rd, Fayette, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 472-2310.
NPI number for Mrs Demecka Wilson is 1114388568 and her current mailing address is 1644 B Carter Street Suite 2, Vidalia, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114388568.
Healthcare Provider's Profile
| Full Name | Mrs Demecka Wilson |
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| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 1138 Puffer Rd, Fayette, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114388568
- Provider Enumeration Date: 03/14/2016
- Last Update Date: 07/30/2021
Medical Identifiers
Medical identifiers for Mrs Demecka Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114388568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Louisiana) | 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. Mrs Demecka 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 |
|---|
Mrs Demecka Wilson,
1644 B Carter Street Suite 2,
Vidalia, LA 71373
Ph: (318) 414-3065 | Mrs Demecka Wilson,
1138 Puffer Rd,
Fayette, MS 39069-5133
Ph: (601) 472-2310 |
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