Kassidy Wilson, is a medicare enrolled "Physician Assistant" physician in Akron, Ohio. Her current practice location is
141 N Forge St, Akron, Ohio. You can reach out to her office (for appointments etc.) via phone at
(734) 788-9747.
Kassidy Wilson is licensed to practice in * (Not Available) (license number ) 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 1164160578.
Physician's Profile
Full Name | Kassidy Wilson |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 141 N Forge St, Akron, Ohio |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164160578
- Provider Enumeration Date: 05/25/2022
- Last Update Date: 03/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103290242
- Enrollment ID: I20230313001990
Medical Identifiers
Medical identifiers for Kassidy Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164160578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 50.007803RX (Ohio) | Secondary |
363A00000X | Physician Assistant | (* (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. Kassidy 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 |
Kassidy Wilson, 141 N Forge St, Akron, OH 44304-1407 Ph: (734) 788-9747 | Kassidy Wilson, 141 N Forge St, Akron, OH 44304-1407 Ph: (734) 788-9747 |
Reviews and Comments