Mrs Alix Mackenzie Wilson, PA-C is a
Physician Assistant - Surgical physician based in Oakland, California. Mrs Alix Mackenzie Wilson is licensed to practice in California (license number PA55025) and her current practice location is 747 52nd St, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(203) 570-0111.
NPI number for Mrs Alix Mackenzie Wilson is 1912419276 and her current mailing address is 2207 Bridgeport Way, Martinez, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912419276.
Physician's Profile
Full Name | Mrs Alix Mackenzie Wilson |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 747 52nd St, Oakland, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912419276
- Provider Enumeration Date: 10/26/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Mrs Alix Mackenzie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912419276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080S0010X | Pediatrics - Sports Medicine | 55025 (California) | Secondary |
363A00000X | Physician Assistant | PA55025 (California) | Secondary |
363AS0400X | Physician Assistant - Surgical | PA55025 (California) | 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. Mrs Alix Mackenzie Wilson 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 |
Mrs Alix Mackenzie Wilson, PA-C 2207 Bridgeport Way, Martinez, CA 94553-6711 Ph: (203) 570-0111 | Mrs Alix Mackenzie Wilson, PA-C 747 52nd St, Oakland, CA 94609-1809 Ph: (203) 570-0111 |
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