Jessica A Wilson, PA is a medicare enrolled "Physician Assistant" in Prospect, Kentucky. Her current practice location is
9301 Dayflower St Ste 100, Prospect, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 326-8588.
Jessica A Wilson is licensed to practice in Kentucky (license number 363A00000X) 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 1699225482.
Provider's Profile
Full Name | Jessica A Wilson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 9301 Dayflower St Ste 100, Prospect, Kentucky |
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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: 1699225482
- Provider Enumeration Date: 10/05/2016
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870876360
- Enrollment ID: I20170207002268
Medical Identifiers
Medical identifiers for Jessica A Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699225482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | SP561493 (Ohio) | Secondary |
363AM0700X | Physician Assistant - Medical | 50.004805RX (Ohio) | Secondary |
363A00000X | Physician Assistant | 363A00000X (Kentucky) | 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. Jessica A 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 |
Jessica A Wilson, PA 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 Ph: (502) 326-8588 | Jessica A Wilson, PA 9301 Dayflower St Ste 100, Prospect, KY 40059-7585 Ph: (502) 326-8588 |
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