Kaden Wilson, is a medicare enrolled "Nurse Practitioner - Family" in Perry, Utah. His current practice location is
652 W 2150 S, Perry, Utah. You can reach out to his office (for appointments etc.) via phone at
(385) 238-0789.
Kaden Wilson is licensed to practice in Utah (license number 11203356-4405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902656093.
Provider's Profile
| Full Name | Kaden Wilson |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 652 W 2150 S, Perry, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902656093
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719326677
- Enrollment ID: I20240411004694
Medical Identifiers
Medical identifiers for Kaden Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902656093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11203356-4405 (Utah) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kaden Wilson allows following entities to bill medicare on his behalf.
| Entity Name | Molina Healthcare Of Utah |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619486396
PECOS PAC ID: 8224395041
Enrollment ID: O20171204002662 |
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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. Kaden 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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Kaden Wilson,
652 W 2150 S,
Perry, UT 84302-4379
Ph: () - | Kaden Wilson,
652 W 2150 S,
Perry, UT 84302-4379
Ph: (385) 238-0789 |
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