Jordan Wilson, PA-C is a medicare enrolled "Physician Assistant" physician in Centralia, Washington. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lewis County Mental Health Association and 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 |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 2428 W Reynolds Ave, Centralia, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jordan Wilson graduated from medical school in 2017
NPI Data:
- NPI Number: 1235651720
- Provider Enumeration Date: 07/17/2017
- Last Update Date: 09/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 7012267115
- Enrollment ID: I20180911003525
Medical Identifiers
Medical identifiers for Jordan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235651720 | NPI | - | NPPES |
| 2101119 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | 9110440 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA60855409 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lewis County Mental Health Association | 5496641177 | 7 |
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 |
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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 |
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