Mrs Katherine Ann Wilson, PA-C in St. Johns, FL

Mrs Katherine Ann Wilson, PA-C is a medicare enrolled "Physician Assistant" in St. Johns, Florida. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Baptist Primary Care Inc and her current practice location is 30 Ardisia Lane, St. Johns, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 287-2794.

Mrs Katherine Ann Wilson is licensed to practice in Florida (license number PA9104552) 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 1235353988.

Contact Information

	Mrs Katherine Ann Wilson, PA-C
	30 Ardisia Lane, St. Johns, FL 32259
	(904) 287-2794
	(904) 390-7458

Map and Direction

Provider's Profile

Full Name	Mrs Katherine Ann Wilson
Gender	Female
Speciality	Physician Assistant
Experience	18 Years
Location	30 Ardisia Lane, St. Johns, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Katherine Ann Wilson graduated from nursing school in 2007

NPI Data:

NPI Number: 1235353988
Provider Enumeration Date: 04/12/2007
Last Update Date: 09/20/2022

Medicare PECOS Information:

PECOS PAC ID: 0941308787
Enrollment ID: I20111107000709

Medical Identifiers

Medical identifiers for Mrs Katherine Ann Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235353988	NPI	-	NPPES
411072211A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	005035 (Georgia)	Secondary
363A00000X	Physician Assistant	PA9104552 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Primary Care Inc	0648177733	405

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. Mrs Katherine Ann 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
Mrs Katherine Ann Wilson, PA-C Po Box 746638, Atlanta, GA 30374-6638 Ph: (904) 202-1032	Mrs Katherine Ann Wilson, PA-C 30 Ardisia Lane, St. Johns, FL 32259 Ph: (904) 287-2794

Reviews and Comments

Physician Assistant Nurses in St. Johns, FL

Nathan Kent Adams, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 115 Bartram Oaks Walk, Suite 104, St. Johns, FL 32259 Phone: 904-240-0442 Fax: 904-240-0471
Nineveh A Mcintosh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Ardisia Lane, St. Johns, FL 32259 Phone: 904-287-2794 Fax: 904-390-7458
Vanessa M. Berrios, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Ardisia Lane, St. Johns, FL 32259 Phone: 904-287-2794

Mrs Katherine Ann Wilson, PA-C - Medicare Physician Assistant in St. Johns, FL