Kayci Dial Wilson, NURSE PRACTITIONER | |
815 S Pine St, Vivian, LA 71082-3353 | |
(318) 375-3239 | |
(318) 375-2755 |
Full Name | Kayci Dial Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 815 S Pine St, Vivian, Louisiana |
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 |
---|---|---|---|
1720205586 | NPI | - | NPPES |
2100360 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN097383 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP05072 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Caddo Medical Center | Vivian, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Caddo Hospital Service District | 4385544584 | 13 |
Entity Name | North Caddo Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
Entity Name | North Caddo Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477798668 PECOS PAC ID: 4385544584 Enrollment ID: O20090424000082 |
Entity Name | Benton Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932585841 PECOS PAC ID: 1456669654 Enrollment ID: O20151008001618 |
Entity Name | Blanchard Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760089791 PECOS PAC ID: 8325450315 Enrollment ID: O20201216001046 |
Mailing Address | Practice Location Address |
---|---|
Kayci Dial Wilson, NURSE PRACTITIONER 815 S Pine St, Vivian, LA 71082-3353 Ph: (318) 375-3239 | Kayci Dial Wilson, NURSE PRACTITIONER 815 S Pine St, Vivian, LA 71082-3353 Ph: (318) 375-3239 |
Steven L Mcrae, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9095 Hosston Vivian Rd, Vivian, LA 71082 Phone: 318-465-7368 | |
Sean W. Landreneau, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1003 S Spruce St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2755 |