Ms Jill R Konzelman Wilson, PA - Medicare Physician Assistant in Pensacola, FL

Ms Jill R Konzelman Wilson, PA is a medicare enrolled "Physician Assistant - Surgical" physician in Pensacola, Florida. Her current practice location is 5151 N 9th Ave, Pensacola, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 416-7000.

Ms Jill R Konzelman Wilson is licensed to practice in Florida (license number PA9103579) 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 1073524864.

Contact Information

Ms Jill R Konzelman Wilson, PA
5151 N 9th Ave,
Pensacola, FL 32504-8721
(850) 416-7000
Not Available



Physician's Profile

Full NameMs Jill R Konzelman Wilson
GenderFemale
SpecialityPhysician Assistant - Surgical
Location5151 N 9th Ave, Pensacola, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073524864
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 02/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1557384864
  • Enrollment ID: I20060112000180

Medical Identifiers

Medical identifiers for Ms Jill R Konzelman Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073524864NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine PA9103579 (Florida)Secondary
363AS0400XPhysician Assistant - Surgical PA9103579 (Florida)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. Ms Jill R Konzelman 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
Ms Jill R Konzelman Wilson, PA
Po Box 2699,
Pensacola, FL 32513-2699

Ph: (850) 416-7000
Ms Jill R Konzelman Wilson, PA
5151 N 9th Ave,
Pensacola, FL 32504-8721

Ph: (850) 416-7000

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