Dr Katherine L Wilson, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Antelope, California. Her current practice location is
5130 Vista Sierra Dr, Antelope, California. You can reach out to her office (for appointments etc.) via phone at
(916) 715-9069.
Dr Katherine L Wilson is licensed to practice in California (license number PSY30173) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134440613.
Healthcare Provider's Profile
Full Name | Dr Katherine L Wilson |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 5130 Vista Sierra Dr, Antelope, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134440613
- Provider Enumeration Date: 06/18/2010
- Last Update Date: 08/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436582814
- Enrollment ID: I20221018002633
Medical Identifiers
Medical identifiers for Dr Katherine L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134440613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY30173 (California) | 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. Dr Katherine L Wilson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Katherine L Wilson, PSY D Po Box 8803, Citrus Heights, CA 95621-8803 Ph: (916) 715-9069 | Dr Katherine L Wilson, PSY D 5130 Vista Sierra Dr, Antelope, CA 95843-4610 Ph: (916) 715-9069 |
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