Mr Kevin John Wansor, PA-C in Upland, PA - Medicare Physician Assistant

Mr Kevin John Wansor, PA-C is a medicare enrolled "Physician Assistant - Medical" in Upland, Pennsylvania. His current practice location is 30 Medical Center Blvd Suite 303, Clinical Renal Associates Ltd, Upland, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 872-8501.

Mr Kevin John Wansor is licensed to practice in Pennsylvania (license number MA053066) 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 1588853675.

Contact Information

	Mr Kevin John Wansor, PA-C
	30 Medical Center Blvd Suite 303, Clinical Renal Associates Ltd, Upland, PA 19013-3995
	(610) 872-8501
	(610) 872-5188

Map and Direction

Provider's Profile

Full Name	Mr Kevin John Wansor
Gender	Male
Speciality	Physician Assistant - Medical
Location	30 Medical Center Blvd Suite 303, Upland, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588853675
Provider Enumeration Date: 10/15/2007
Last Update Date: 12/20/2013

Medicare PECOS Information:

PECOS PAC ID: 5395832638
Enrollment ID: I20071102000108

Medical Identifiers

Medical identifiers for Mr Kevin John Wansor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588853675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	MA053066 (Pennsylvania)	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. Mr Kevin John Wansor 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
Mr Kevin John Wansor, PA-C 30 Medical Center Blvd Suite 303, Clinical Renal Associates Ltd, Upland, PA 19013-3995 Ph: (610) 872-8501	Mr Kevin John Wansor, PA-C 30 Medical Center Blvd Suite 303, Clinical Renal Associates Ltd, Upland, PA 19013-3995 Ph: (610) 872-8501

Reviews and Comments

Physician Assistant Nurses in Upland, PA

Arnee Miles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Blvd, Suite 305, Upland, PA 19013 Phone: 610-874-6448 Fax: 610-876-7399
Baotram Ngoc Luu, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: One Medical Center Blvd, Suite 404, Upland, PA 19013 Phone: 610-619-8590 Fax: 610-619-8591
Yelena Kostyukov, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 30 Medical Center Blvd, Prof Office Bldg 1, Suite 305, Upland, PA 19013 Phone: 610-874-4147
Michelle Raeuber, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Medical Center Blvd, Suite 305, Upland, PA 19013 Phone: 610-874-6448 Fax: 610-876-7399
Rinku Shah, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Blvd., Acp, Suite 232, Upland, PA 19013 Phone: 844-464-6387 Fax: 215-239-3037
Samantha Marie Naples, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd., Professional Office Building I - Suite 400, Upland, PA 19013 Phone: 610-876-2400 Fax: 610-876-4308

Mr Kevin John Wansor, PA-C - Medicare Physician Assistant in Upland, PA