Ms Kendra Nicole Wilson, PA-C is a medicare enrolled "Physician Assistant" in Oxford, Florida. Her current practice location is
10840 N Us Highway 301, Oxford, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 445-1200.
Ms Kendra Nicole Wilson 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 1689142259.
Provider's Profile
Full Name | Ms Kendra Nicole Wilson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 10840 N Us Highway 301, Oxford, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689142259
- Provider Enumeration Date: 11/12/2018
- Last Update Date: 06/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 6002159860
- Enrollment ID: I20190517000999
Medical Identifiers
Medical identifiers for Ms Kendra Nicole Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689142259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (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. Ms Kendra Nicole 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 Kendra Nicole Wilson, PA-C 10840 N Us Highway 301, Oxford, FL 34484-3558 Ph: (352) 445-1200 | Ms Kendra Nicole Wilson, PA-C 10840 N Us Highway 301, Oxford, FL 34484 Ph: (352) 445-1200 |
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