| Brandye Nicole Wilson, PA | |
|
125 Goodman Rd W Ste D, Southaven, MS 38671-9481 | |
| (662) 932-3560 | |
| (662) 534-2330 |
| Full Name | Brandye Nicole Wilson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 125 Goodman Rd W Ste D, Southaven, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215189618 | NPI | - | NPPES |
| 873993 | Other | MS | MS MEDICARE |
| 00133522 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA362 (Arkansas) | Secondary |
| 363A00000X | Physician Assistant | PA00448 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ortho Express Holding Company Llc | 1951724392 | 16 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandye Nicole Wilson, PA 206 Oxford Rd, New Albany, MS 38652-3115 Ph: (662) 534-2227 | Brandye Nicole Wilson, PA 125 Goodman Rd W Ste D, Southaven, MS 38671-9481 Ph: (662) 932-3560 |
Teona Wright, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671 Phone: 662-349-9116 | |
Jacob Cole Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3100 | |
Nikara Kilpatrick, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 9140 Highway 51 N, Southaven, MS 38671 Phone: 662-280-8222 | |
Brooklyn Paige Snell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000 | |
Donald Wayne Washburn Iii, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000 | |
Pamela Lynn Davis, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620 |