Jordan Wilson, PA-C - Medicare Physician Assistant in Centralia, WA

Jordan Wilson, PA-C is a medicare enrolled "Physician Assistant" physician in Centralia, Washington. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lewis County Mental Health Association and his current practice location is 2428 W Reynolds Ave, Centralia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 330-9044.

Jordan Wilson is licensed to practice in Washington (license number PA60855409) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235651720.

Contact Information

Jordan Wilson, PA-C
2428 W Reynolds Ave,
Centralia, WA 98531
(360) 330-9044
Not Available



Physician's Profile

Full NameJordan Wilson
GenderMale
SpecialityPhysician Assistant
Experience7 Years
Location2428 W Reynolds Ave, Centralia, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Wilson graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1235651720
  • Provider Enumeration Date: 07/17/2017
  • Last Update Date: 09/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7012267115
  • Enrollment ID: I20180911003525

Medical Identifiers

Medical identifiers for Jordan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235651720NPI-NPPES
2101119MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084B0040XPsychiatry & Neurology - Behavioral Neurology & Neuropsychiatry 9110440 (Florida)Secondary
363A00000XPhysician Assistant PA60855409 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lewis County Mental Health Association54966411773

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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. Jordan 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 AddressPractice Location Address
Jordan Wilson, PA-C
123 4th Ave W Apt 702,
Olympia, WA 98501-1052

Ph: (630) 605-2703
Jordan Wilson, PA-C
2428 W Reynolds Ave,
Centralia, WA 98531

Ph: (360) 330-9044

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