Mrs Lydia Wilbanks, PA-C in Memphis, TN - Medicare Physician Assistant

Mrs Lydia Wilbanks, PA-C is a medicare enrolled "Physician Assistant - Medical" in Memphis, Tennessee. Her current practice location is 795 Ridge Lake Blvd Ste 200, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (726) 665-5901.

Mrs Lydia Wilbanks is licensed to practice in * (Not Available) (license number ) 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 1811623440.

Contact Information

	Mrs Lydia Wilbanks, PA-C
	795 Ridge Lake Blvd Ste 200, Memphis, TN 38120-9475
	(726) 665-5901
	(901) 726-9056

Map and Direction

Provider's Profile

Full Name	Mrs Lydia Wilbanks
Gender	Female
Speciality	Physician Assistant - Medical
Location	795 Ridge Lake Blvd Ste 200, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811623440
Provider Enumeration Date: 07/26/2022
Last Update Date: 12/28/2022

Medicare PECOS Information:

PECOS PAC ID: 9739558404
Enrollment ID: I20221220001466

Medical Identifiers

Medical identifiers for Mrs Lydia Wilbanks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811623440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	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. Mrs Lydia Wilbanks 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 Lydia Wilbanks, PA-C 1455 Union Ave, Memphis, TN 38104-6727 Ph: (901) 726-6655	Mrs Lydia Wilbanks, PA-C 795 Ridge Lake Blvd Ste 200, Memphis, TN 38120-9475 Ph: (726) 665-5901

Reviews and Comments

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Mrs Lydia Wilbanks, PA-C - Medicare Physician Assistant in Memphis, TN