Kasey Wilson, ADC, BA, QBHP is a
Case Manager/care Coordinator based in Fort Smith, Arkansas. Kasey Wilson is licensed to practice in * (Not Available) (license number ) and his current practice location is
3113 S 70th St, Fort Smith, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 452-6650.
NPI number for Kasey Wilson is 1023645991 and his current mailing address is Po Box 11818, Fort Smith, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023645991.
Healthcare Provider's Profile
| Full Name | Kasey Wilson |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 3113 S 70th St, Fort Smith, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023645991
- Provider Enumeration Date: 03/23/2020
- Last Update Date: 07/16/2020
Medical Identifiers
Medical identifiers for Kasey Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023645991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Kasey 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 |
|---|
Kasey Wilson, ADC, BA, QBHP
Po Box 11818,
Fort Smith, AR 72917-1818
Ph: (479) 452-6650 | Kasey Wilson, ADC, BA, QBHP
3113 S 70th St,
Fort Smith, AR 72903-5017
Ph: (479) 452-6650 |
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