Brycen Wilson, DO in Keesler Afb, MS - Medicare Internal Medicine

Brycen Wilson, DO is a medicare enrolled "Internal Medicine" physician in Keesler Afb, Mississippi. His current practice location is 81 Mdss/gme, 301 Fisher Street Rm 1g123, Keesler Afb, Mississippi. You can reach out to his office (for appointments etc.) via phone at (865) 806-5088.

Brycen Wilson is licensed to practice in Mississippi (license number 30710) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114584778.

Contact Information

	Brycen Wilson, DO
	81 Mdss/gme, 301 Fisher Street Rm 1g123, Keesler Afb, MS 39534
	(865) 806-5088
	Not Available

Physician's Profile

Full Name	Brycen Wilson
Gender	Male
Speciality	Internal Medicine
Location	81 Mdss/gme, Keesler Afb, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114584778
Provider Enumeration Date: 05/20/2019
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 9335477314
Enrollment ID: I20240303000214

Medical Identifiers

Medical identifiers for Brycen Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114584778	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	30710 (Mississippi)	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. Brycen 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
Brycen Wilson, DO 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Ph: (907) 580-5986	Brycen Wilson, DO 81 Mdss/gme, 301 Fisher Street Rm 1g123, Keesler Afb, MS 39534 Ph: (865) 806-5088

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Internal Medicine Doctors in Keesler Afb, MS

Audra Cochran, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3082
Ms. Melinda Marie Auxier, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 Fisher St, 88 Mdos/sgom, Keesler Afb, MS 39534 Phone: 228-376-0576
Frank David Russo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3807 Fax: 228-376-0105
Dr. Matthew Christopher Hann, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-342-6178
Stuart Thomas Wood, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3551
Matthew J Hubbard, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3629

Brycen Wilson, DO - Medicare Internal Medicine in Keesler Afb, MS