Brandye Nicole Wilson, PA - Medicare Physician Assistant in Southaven, MS

Brandye Nicole Wilson, PA is a medicare enrolled "Physician Assistant" in Southaven, Mississippi. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ortho Express Holding Company Llc and her current practice location is 125 Goodman Rd W Ste D, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 932-3560.

Brandye Nicole Wilson is licensed to practice in Mississippi (license number PA00448) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215189618.

Contact Information

Brandye Nicole Wilson, PA
125 Goodman Rd W Ste D,
Southaven, MS 38671-9481
(662) 932-3560
(662) 534-2330



Provider's Profile

Full NameBrandye Nicole Wilson
GenderFemale
SpecialityPhysician Assistant
Experience16 Years
Location125 Goodman Rd W Ste D, Southaven, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandye Nicole Wilson graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1215189618
  • Provider Enumeration Date: 10/16/2008
  • Last Update Date: 09/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880758259
  • Enrollment ID: I20191107000172

Medical Identifiers

Medical identifiers for Brandye Nicole Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215189618NPI-NPPES
873993OtherMSMS MEDICARE
00133522MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA362 (Arkansas)Secondary
363A00000XPhysician Assistant PA00448 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ortho Express Holding Company Llc195172439215

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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. Brandye Nicole 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
Brandye Nicole Wilson, PA
206 Oxford Rd,
New Albany, MS 38652-3115

Ph: (662) 534-2227
Brandye Nicole Wilson, PA
125 Goodman Rd W Ste D,
Southaven, MS 38671-9481

Ph: (662) 932-3560

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Physician Assistant Nurses in Southaven, MS

Jacob Cole Lee, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7545 Airways Blvd, Southaven, MS 38671
Phone: 901-759-3100    
Nikara Kilpatrick, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 9140 Highway 51 N, Southaven, MS 38671
Phone: 662-280-8222    
Brooklyn Paige Snell, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-4000    
Donald Wayne Washburn Iii,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-4000    
Pamela Lynn Davis, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 122 Airways Pl, Southaven, MS 38671
Phone: 662-349-9990    Fax: 662-349-2620
Caroline Sabbatini Moreland, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7585 Clarington Cv, Southaven, MS 38671
Phone: 662-349-0200    Fax: 662-349-1666

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