Mr Wesley D Wilkerson, PTA, OTR/L is a
Physical Medicine & Rehabilitation physician based in Pea Ridge, Arkansas. Mr Wesley D Wilkerson is licensed to practice in Arkansas (license number PTA 2414) and his current practice location is 827 Slack St, Pea Ridge, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 451-9434.
NPI number for Mr Wesley D Wilkerson is 1972823326 and his current mailing address is Po Box 585, Pea Ridge, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972823326.
Physician's Profile
| Full Name | Mr Wesley D Wilkerson |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 827 Slack St, Pea Ridge, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972823326
- Provider Enumeration Date: 06/08/2010
- Last Update Date: 10/29/2014
Medical Identifiers
Medical identifiers for Mr Wesley D Wilkerson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972823326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PTA 2414 (Arkansas) | Primary |
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | OTR2768 (Arkansas) | Secondary |
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 Wesley D Wilkerson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Wesley D Wilkerson, PTA, OTR/L
Po Box 585,
Pea Ridge, AR 72751-0585
Ph: (479) 451-9434 | Mr Wesley D Wilkerson, PTA, OTR/L
827 Slack St,
Pea Ridge, AR 72751-3703
Ph: (479) 451-9434 |
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