Ms Susan Lee Wilson, PA-C is a
Physician Assistant based in Canton, North Carolina. Ms Susan Lee Wilson is licensed to practice in North Carolina (license number 101481) and her current practice location is
55 Buckeye Cove Rd, Canton, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(828) 648-0282.
NPI number for Ms Susan Lee Wilson is 1487772075 and her current mailing address is 55 Buckeye Cove Rd, Canton, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487772075.
Provider's Profile
Full Name | Ms Susan Lee Wilson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 55 Buckeye Cove Rd, Canton, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487772075
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 10/03/2012
Medical Identifiers
Medical identifiers for Ms Susan Lee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487772075 | NPI | - | NPPES |
8101745 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 101481 (North Carolina) | 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 Susan Lee Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Susan Lee Wilson, PA-C 55 Buckeye Cove Rd, Canton, NC 28716-4511 Ph: (828) 648-0282 | Ms Susan Lee Wilson, PA-C 55 Buckeye Cove Rd, Canton, NC 28716-4511 Ph: (828) 648-0282 |
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