Cora Wilson, PA-C is a medicare enrolled "Physician Assistant" in Byrdstown, Tennessee. Her current practice location is
8401 Hwy 111, Byrdstown, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 864-3187.
Cora Wilson is licensed to practice in Tennessee (license number 4795) 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 1760149991.
Provider's Profile
Full Name | Cora Wilson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 8401 Hwy 111, Byrdstown, Tennessee |
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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: 1760149991
- Provider Enumeration Date: 11/22/2021
- Last Update Date: 12/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436544954
- Enrollment ID: I20220321001419
Medical Identifiers
Medical identifiers for Cora Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760149991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 4795 (Tennessee) | 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. Cora 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 |
Cora Wilson, PA-C 1679 Okalona Rd, Rickman, TN 38580-1957 Ph: () - | Cora Wilson, PA-C 8401 Hwy 111, Byrdstown, TN 38549-1006 Ph: (931) 864-3187 |
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