Kassidy Wilson, in Akron, OH - Medicare Physician Assistant

Kassidy Wilson, is a medicare enrolled "Physician Assistant" physician in Akron, Ohio. Her current practice location is 141 N Forge St, Akron, Ohio. You can reach out to her office (for appointments etc.) via phone at (734) 788-9747.

Kassidy Wilson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164160578.

Contact Information

	Kassidy Wilson,
	141 N Forge St, Akron, OH 44304-1407
	(734) 788-9747
	Not Available

Physician's Profile

Full Name	Kassidy Wilson
Gender	Female
Speciality	Physician Assistant
Location	141 N Forge St, Akron, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164160578
Provider Enumeration Date: 05/25/2022
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 6103290242
Enrollment ID: I20230313001990

Medical Identifiers

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

Identifier	Type	State	Issuer
1164160578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	50.007803RX (Ohio)	Secondary
363A00000X	Physician Assistant	(* (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. Kassidy 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
Kassidy Wilson, 141 N Forge St, Akron, OH 44304-1407 Ph: (734) 788-9747	Kassidy Wilson, 141 N Forge St, Akron, OH 44304-1407 Ph: (734) 788-9747

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Kassidy Wilson, - Medicare Physician Assistant in Akron, OH