Ms Tara Nicole Wilson, PA-C in Washington, DC - Medicare Physician Assistant

Ms Tara Nicole Wilson, PA-C is a medicare enrolled "Physician Assistant" in Washington, District Of Columbia. Her current practice location is 110 Irving Sreet Nw, Room 4b-42, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (724) 831-6122.

Ms Tara Nicole 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 1174006035.

Contact Information

	Ms Tara Nicole Wilson, PA-C
	110 Irving Sreet Nw, Room 4b-42, Washington, DC 20010-2975
	(724) 831-6122
	Not Available

Provider's Profile

Full Name	Ms Tara Nicole Wilson
Gender	Female
Speciality	Physician Assistant
Location	110 Irving Sreet Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174006035
Provider Enumeration Date: 09/07/2018
Last Update Date: 09/07/2018

Medicare PECOS Information:

PECOS PAC ID: 7618216656
Enrollment ID: I20220312000123

Medical Identifiers

Medical identifiers for Ms Tara Nicole Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174006035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
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. Ms Tara 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 Address	Practice Location Address
Ms Tara Nicole Wilson, PA-C 423 E Beaver St, Zelienople, PA 16063-1201 Ph: (724) 831-6122	Ms Tara Nicole Wilson, PA-C 110 Irving Sreet Nw, Room 4b-42, Washington, DC 20010-2975 Ph: (724) 831-6122

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Ms Tara Nicole Wilson, PA-C - Medicare Physician Assistant in Washington, DC