Tabitha Sue Wilson, is a
Pediatrics physician based in Corning, Iowa. Tabitha Sue Wilson is licensed to practice in Iowa (license number MD-46015) and her current practice location is 603 Rosary Dr, Corning, Iowa. She can be reached at her office (for appointments etc.) via phone at
(641) 322-3121.
NPI number for Tabitha Sue Wilson is 1952764425 and her current mailing address is 2324 190th St, Bedford, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952764425.
Physician's Profile
Full Name | Tabitha Sue Wilson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 603 Rosary Dr, Corning, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952764425
- Provider Enumeration Date: 04/01/2016
- Last Update Date: 07/24/2019
Medical Identifiers
Medical identifiers for Tabitha Sue Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952764425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD-46015 (Iowa) | 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. Tabitha Sue 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 |
Tabitha Sue Wilson, 2324 190th St, Bedford, IA 50833-8233 Ph: (712) 621-4164 | Tabitha Sue Wilson, 603 Rosary Dr, Corning, IA 50841 Ph: (641) 322-3121 |
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