Summer L Wilson, is a
Licensed Practical Nurse based in Lamar, Colorado. Summer L Wilson is licensed to practice in Colorado (license number PN0041434) and her current practice location is
3501 S Main St, Lamar, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 336-3600.
NPI number for Summer L Wilson is 1558015073 and her current mailing address is Po Box 1417, Lamar, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558015073.
Provider's Profile
| Full Name | Summer L Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 3501 S Main St, Lamar, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558015073
- Provider Enumeration Date: 02/04/2022
- Last Update Date: 02/04/2022
Medical Identifiers
Medical identifiers for Summer L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558015073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PN0041434 (Colorado) | 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. Summer L 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 |
|---|
Summer L Wilson,
Po Box 1417,
Lamar, CO 81052-1417
Ph: (719) 336-2600 | Summer L Wilson,
3501 S Main St,
Lamar, CO 81052-4336
Ph: (719) 336-3600 |
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