Jordan Wilson, PA-C is a medicare enrolled "Physician Assistant" physician in Centralia, Washington. His current practice location is
2428 W Reynolds Ave, Centralia, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 330-9044.
Jordan Wilson is licensed to practice in Washington (license number PA60855409) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235651720.
Physician's Profile
| Full Name | Jordan Wilson |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 2428 W Reynolds Ave, Centralia, Washington |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Jordan Wilson attended and graduated from in
NPI Data:
- NPI Number: 1235651720
- Provider Enumeration Date: 07/17/2017
- Last Update Date: 09/06/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jordan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235651720 | NPI | - | NPPES |
| 2101119 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | 9110440 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA60855409 (Washington) | 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. Jordan 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 |
|---|
Jordan Wilson, PA-C
123 4th Ave W Apt 702,
Olympia, WA 98501-1052
Ph: (630) 605-2703 | Jordan Wilson, PA-C
2428 W Reynolds Ave,
Centralia, WA 98531
Ph: (360) 330-9044 |
Reviews and Comments