Patricia J Wilson, CNM is a medicare enrolled "Advanced Practice Midwife" in Kingsport, Tennessee. Her current practice location is
2002 Brookside Dr, Suite 300, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 392-6370.
Patricia J Wilson is licensed to practice in Tennessee (license number 12895) 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 1922063247.
Provider's Profile
| Full Name | Patricia J Wilson |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2002 Brookside Dr, Kingsport, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Patricia J Wilson attended and graduated from in
NPI Data:
- NPI Number: 1922063247
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 03/16/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Patricia J Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922063247 | NPI | - | NPPES |
| 1532284 | Medicaid | TN | |
| 1922063247 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LW0102X | Nurse Practitioner - Women's Health | RN78573 (Tennessee) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 12895 (Tennessee) | Secondary |
| 367A00000X | Advanced Practice Midwife | 12895 (Tennessee) | 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. Patricia J 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 |
|---|
Patricia J Wilson, CNM
215 E Springbrook Dr,
Johnson City, TN 37601-1761
Ph: (423) 530-7900 | Patricia J Wilson, CNM
2002 Brookside Dr, Suite 300,
Kingsport, TN 37660-4634
Ph: (423) 392-6370 |
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