Mrs Mitsue Alice Wilcoxson, ATC, PT is a
Specialist/technologist - Athletic Trainer based in West Lafayette, Indiana. Mrs Mitsue Alice Wilcoxson is licensed to practice in Indiana (license number ) and her current practice location is
900 N University St, B63 Mackey Arena, Purdue University, West Lafayette, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 494-1703.
NPI number for Mrs Mitsue Alice Wilcoxson is 1649215450 and her current mailing address is 1709 Summit Dr, West Lafayette, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649215450.
Healthcare Provider's Profile
Full Name | Mrs Mitsue Alice Wilcoxson |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 900 N University St, West Lafayette, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649215450
- Provider Enumeration Date: 06/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Mitsue Alice Wilcoxson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649215450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (Indiana) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | (Indiana) | 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. Mrs Mitsue Alice Wilcoxson 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 |
Mrs Mitsue Alice Wilcoxson, ATC, PT 1709 Summit Dr, West Lafayette, IN 47906-2229 Ph: (765) 497-0849 | Mrs Mitsue Alice Wilcoxson, ATC, PT 900 N University St, B63 Mackey Arena, Purdue University, West Lafayette, IN 47907-2070 Ph: (765) 494-1703 |
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