Ms Jill R Konzelman Wilson, PA is a medicare enrolled "Physician Assistant - Surgical" physician in Pensacola, Florida. Her current practice location is
5151 N 9th Ave, Pensacola, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 416-7000.
Ms Jill R Konzelman Wilson is licensed to practice in Florida (license number PA9103579) 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 1073524864.
Physician's Profile
Full Name | Ms Jill R Konzelman Wilson |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 5151 N 9th Ave, Pensacola, Florida |
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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: 1073524864
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 02/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 1557384864
- Enrollment ID: I20060112000180
Medical Identifiers
Medical identifiers for Ms Jill R Konzelman Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073524864 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PA9103579 (Florida) | Secondary |
363AS0400X | Physician Assistant - Surgical | PA9103579 (Florida) | 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. Ms Jill R Konzelman 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 |
Ms Jill R Konzelman Wilson, PA Po Box 2699, Pensacola, FL 32513-2699 Ph: (850) 416-7000 | Ms Jill R Konzelman Wilson, PA 5151 N 9th Ave, Pensacola, FL 32504-8721 Ph: (850) 416-7000 |
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