Ms Jesalyn Dove Wilson, PA-C is a medicare enrolled "Physician Assistant" in Clarksville, Arkansas. Her current practice location is
1100 E Poplar St, Clarksville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 754-5454.
Ms Jesalyn Dove Wilson is licensed to practice in Arkansas (license number P-T1518) 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 1205226925.
Provider's Profile
Full Name | Ms Jesalyn Dove Wilson |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 1100 E Poplar St, Clarksville, Arkansas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205226925
- Provider Enumeration Date: 02/02/2015
- Last Update Date: 11/04/2015
Medicare PECOS Information:
- PECOS PAC ID: 4183941255
- Enrollment ID: I20150330001332
Medical Identifiers
Medical identifiers for Ms Jesalyn Dove Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205226925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | P-T1518 (Arkansas) | 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. Ms Jesalyn Dove 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 |
Ms Jesalyn Dove Wilson, PA-C 700 Harris St, Hartman, AR 72840-9444 Ph: (479) 746-1877 | Ms Jesalyn Dove Wilson, PA-C 1100 E Poplar St, Clarksville, AR 72830-4419 Ph: (479) 754-5454 |
Reviews and Comments