Mrs Pamela Rae Wilderson, MS is a
Speech-language Pathologist based in Dove Creek, Colorado. Mrs Pamela Rae Wilderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
425 North Main Street, Dove Creek, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 677-2296.
NPI number for Mrs Pamela Rae Wilderson is 1053199042 and her current mailing address is 701 Camino Del Rio Ste 221, Durango, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053199042.
Healthcare Provider's Profile
Full Name | Mrs Pamela Rae Wilderson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 425 North Main Street, Dove Creek, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053199042
- Provider Enumeration Date: 09/20/2023
- Last Update Date: 09/20/2023
Medical Identifiers
Medical identifiers for Mrs Pamela Rae Wilderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053199042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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 Pamela Rae Wilderson 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 Pamela Rae Wilderson, MS 701 Camino Del Rio Ste 221, Durango, CO 81301-5466 Ph: (970) 247-3261 | Mrs Pamela Rae Wilderson, MS 425 North Main Street, Dove Creek, CO 81324 Ph: (970) 677-2296 |
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