Mr Max Wilmot, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" physician in Houston, Texas. His current practice location is
6621 Fannin St, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(832) 822-4602.
Mr Max Wilmot is licensed to practice in Texas (license number PA15725) 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 1871117135.
Physician's Profile
Full Name | Mr Max Wilmot |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 6621 Fannin St, Houston, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871117135
- Provider Enumeration Date: 06/02/2020
- Last Update Date: 06/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 0446637318
- Enrollment ID: I20220513002203
Medical Identifiers
Medical identifiers for Mr Max Wilmot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871117135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 0010-10046 (North Carolina) | Secondary |
363A00000X | Physician Assistant | PA15725 (Texas) | 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 Max Wilmot 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 |
Mr Max Wilmot, PHYSICIAN ASSISTANT 4100 Greenbriar Dr Apt 463, Houston, TX 77098-5539 Ph: (404) 862-6033 | Mr Max Wilmot, PHYSICIAN ASSISTANT 6621 Fannin St, Houston, TX 77030-2399 Ph: (832) 822-4602 |
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