Cora Wilson, PA-C - Medicare Physician Assistant in Byrdstown, TN

Cora Wilson, PA-C is a medicare enrolled "Physician Assistant" in Byrdstown, Tennessee. Her current practice location is 8401 Hwy 111, Byrdstown, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 864-3187.

Cora Wilson is licensed to practice in Tennessee (license number 4795) 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 1760149991.

Contact Information

Cora Wilson, PA-C
8401 Hwy 111,
Byrdstown, TN 38549-1006
(931) 864-3187
Not Available



Provider's Profile

Full NameCora Wilson
GenderFemale
SpecialityPhysician Assistant
Location8401 Hwy 111, Byrdstown, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760149991
  • Provider Enumeration Date: 11/22/2021
  • Last Update Date: 12/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436544954
  • Enrollment ID: I20220321001419

Medical Identifiers

Medical identifiers for Cora Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760149991NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 4795 (Tennessee)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. Cora 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
Cora Wilson, PA-C
1679 Okalona Rd,
Rickman, TN 38580-1957

Ph: () -
Cora Wilson, PA-C
8401 Hwy 111,
Byrdstown, TN 38549-1006

Ph: (931) 864-3187

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Physician Assistant Nurses in Byrdstown, TN

Mr. Jeffrey Chase Young, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 8401 Hwy 111, Byrdstown, TN 38549
Phone: 931-864-3187    

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