Elizabeth Dupree Wilson, PAC is a medicare enrolled "Physician Assistant" in Lindale, Texas. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Oliver Street 5.01(a) Inc and her current practice location is
520 N Main St, Lindale, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 534-6200.
Elizabeth Dupree Wilson is licensed to practice in Texas (license number PA06074) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174765895.
Provider's Profile
| Full Name | Elizabeth Dupree Wilson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 520 N Main St, Lindale, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Elizabeth Dupree Wilson graduated from nursing school in 2008
NPI Data:
- NPI Number: 1174765895
- Provider Enumeration Date: 03/26/2009
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597812479
- Enrollment ID: I20090410000016
Medical Identifiers
Medical identifiers for Elizabeth Dupree Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174765895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA06074 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oliver Street 5.01(a) Inc | 0042464125 | 144 |
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. Elizabeth Dupree 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 |
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Elizabeth Dupree Wilson, PAC
5310 Harvest Hill Rd Ste 290,
Dallas, TX 75230-5826
Ph: (214) 420-0672 | Elizabeth Dupree Wilson, PAC
520 N Main St,
Lindale, TX 75771-6424
Ph: (903) 534-6200 |
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