Mr Cary B Wilson, PA-C - Medicare Physician Assistant in Rohnert Park, CA

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Mr Cary B Wilson, PA-C is a medicare enrolled "Physician Assistant" physician in Rohnert Park, California. His current practice location is 5900 State Farm Dr Ste 200, Rohnert Park, California. You can reach out to his office (for appointments etc.) via phone at (707) 559-7500.

Mr Cary B Wilson is licensed to practice in Montana (license number 56256) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700067378.

Contact Information

Mr Cary B Wilson, PA-C
5900 State Farm Dr Ste 200,
Rohnert Park, CA 94928-2149
(707) 559-7500
Not Available

Map and Direction




Physician's Profile

Full NameMr Cary B Wilson
GenderMale
SpecialityPhysician Assistant
Location5900 State Farm Dr Ste 200, Rohnert Park, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700067378
  • Provider Enumeration Date: 11/23/2007
  • Last Update Date: 08/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284707910
  • Enrollment ID: I20200106001699

Medical Identifiers

Medical identifiers for Mr Cary B Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700067378NPI-NPPES
1700067378MedicaidMT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 56256 (California)Secondary
363A00000XPhysician Assistant 56256 (Montana)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. Mr Cary B 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 AddressPractice Location Address
Mr Cary B Wilson, PA-C
1179 N Mcdowell Blvd,
Petaluma, CA 94954-6559

Ph: (707) 559-7500		Mr Cary B Wilson, PA-C
5900 State Farm Dr Ste 200,
Rohnert Park, CA 94928-2149

Ph: (707) 559-7500

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.