Mrs Brandi Wilson, SLP is a
Speech-language Pathologist based in Herber Springs, Arkansas. Mrs Brandi Wilson is licensed to practice in Arkansas (license number SP#2056) and her current practice location is
112 South 5th St., Herber Springs, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 547-9994.
NPI number for Mrs Brandi Wilson is 1295974442 and her current mailing address is 112 South 5th St, Heber Springs, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295974442.
Healthcare Provider's Profile
| Full Name | Mrs Brandi Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 112 South 5th St., Herber Springs, Arkansas |
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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: 1295974442
- Provider Enumeration Date: 02/11/2009
- Last Update Date: 10/06/2020
Medical Identifiers
Medical identifiers for Mrs Brandi Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295974442 | NPI | - | NPPES |
| 175067721 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SP#2056 (Arkansas) | 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 Brandi 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 |
|---|
Mrs Brandi Wilson, SLP
112 South 5th St,
Heber Springs, AR 72543-3816
Ph: (501) 250-5166 | Mrs Brandi Wilson, SLP
112 South 5th St.,
Herber Springs, AR 72543-3816
Ph: (501) 547-9994 |
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