Travis B Wilson, PA - Medicare Physician Assistant in Springfield, OH

Travis B Wilson, PA is a medicare enrolled "Physician Assistant" in Springfield, Ohio. His current practice location is 140 W Main St, Suite 100, Springfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 398-1066.

Travis B Wilson is licensed to practice in Ohio (license number 2723) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053408591.

Contact Information

Travis B Wilson, PA
140 W Main St, Suite 100,
Springfield, OH 45502-1312
(937) 398-1066
(937) 398-1076



Provider's Profile

Full NameTravis B Wilson
GenderMale
SpecialityPhysician Assistant
Location140 W Main St, Springfield, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053408591
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092714592
  • Enrollment ID: I20210827001732

Medical Identifiers

Medical identifiers for Travis B Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053408591NPI-NPPES
2723OtherOHPA LICENSE
11949409OtherOHCAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1140 (South Carolina)Secondary
363A00000XPhysician Assistant 2723 (Ohio)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. Travis B 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
Travis B Wilson, PA
140 W Main St, Suite 100,
Springfield, OH 45502-1312

Ph: (937) 398-1066
Travis B Wilson, PA
140 W Main St, Suite 100,
Springfield, OH 45502-1312

Ph: (937) 398-1066

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Physician Assistant Nurses in Springfield, OH

Jeremy Washington, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 Medical Center Dr, Springfield, OH 45504
Phone: 937-523-1461    Fax: 937-523-1590
Gregory Elton Mann, MPAS, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 2600 N Limestone St, Springfield, OH 45503
Phone: 937-523-9850    
Leanne Margaret Casserlie, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 W Mccreight Ave Ste 106, Springfield, OH 45504
Phone: 937-523-9885    Fax: 937-523-9886
Ragen Elizabeth Engel, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3250 Middle Urbana Rd, Springfield, OH 45502
Phone: 937-399-7777    
Aaron Joseph Jolliff, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 Medical Center Dr, Emergency Department, Springfield, OH 45504
Phone: 937-523-1461    
Marin Elise Kitchens, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 247 S Burnett Rd Ste 210, Springfield, OH 45505
Phone: 937-328-8850    Fax: 937-328-8860

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