Jacqueline L Wilson, - Medicare Physician Assistant in Burlington, VT

Jacqueline L Wilson, is a medicare enrolled "Physician Assistant" in Burlington, Vermont. Her current practice location is 111 Colchester Ave, Burlington, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 847-0000.

Jacqueline L Wilson is licensed to practice in Vermont (license number 055.0031608) 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 1184391435.

Contact Information

Jacqueline L Wilson,
111 Colchester Ave,
Burlington, VT 05401-1473
(802) 847-0000
Not Available



Provider's Profile

Full NameJacqueline L Wilson
GenderFemale
SpecialityPhysician Assistant
Location111 Colchester Ave, Burlington, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184391435
  • Provider Enumeration Date: 08/25/2021
  • Last Update Date: 09/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870981715
  • Enrollment ID: I20220927001792

Medical Identifiers

Medical identifiers for Jacqueline L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184391435NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 026909 (New York)Secondary
363A00000XPhysician Assistant 055.0031608 (Vermont)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. Jacqueline L 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
Jacqueline L Wilson,
111 Colchester Ave,
Burlington, VT 05401-1473

Ph: (802) 847-0000
Jacqueline L Wilson,
111 Colchester Ave,
Burlington, VT 05401-1473

Ph: (802) 847-0000

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Physician Assistant Nurses in Burlington, VT

Dr. Kristen M. Daniels, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 Colchester Ave., Uvm Medical Center - Surgery/plastics, Burlington, VT 05401
Phone: 802-847-3340    Fax: 802-847-7083
Kimberly Ann Holbrook, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 Colchester Ave, 354mp2, Burlington, VT 05401
Phone: 802-847-3496    Fax: 802-847-0574
Mrs. Cheryl Gagnon, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 111 Colchester Ave, Burlington, VT 05401
Phone: 802-864-0111    
Kirsten Lanpher, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 111 Colchester Ave, Burlington, VT 05401
Phone: 802-847-4590    Fax: 802-847-0654
Ms. Christine Yvette O'neill, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 111 Colchester Ave, Fahc Radiology Department, Burlington, VT 05401
Phone: 802-847-8359    
Oliver Barkley,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 Colchester Ave, 205wp1, Burlington, VT 05401
Phone: 802-847-3982    
Nicole Kimball, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 173 Saint Paul St, Burlington, VT 05401
Phone: 866-476-1321    

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