Kimberly Lynn Wile, PA is a medicare enrolled "Physician Assistant" physician in Escondido, California. Her current practice location is
625 Citracado Pkwy Ste 108, Escondido, California. You can reach out to her office (for appointments etc.) via phone at
(760) 743-1431.
Kimberly Lynn Wile is licensed to practice in California (license number PA59724) 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 1174194641.
Physician's Profile
Full Name | Kimberly Lynn Wile |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 625 Citracado Pkwy Ste 108, Escondido, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174194641
- Provider Enumeration Date: 07/06/2021
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163812470
- Enrollment ID: I20211130002936
Medical Identifiers
Medical identifiers for Kimberly Lynn Wile such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174194641 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | PA59724 (California) | Secondary |
363A00000X | Physician Assistant | PA59724 (California) | 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. Kimberly Lynn Wile 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 |
Kimberly Lynn Wile, PA 625 West Citracado Parkway, Suite 108, Escondido, CA 92025-5049 Ph: (760) 743-1431 | Kimberly Lynn Wile, PA 625 Citracado Pkwy Ste 108, Escondido, CA 92025-6428 Ph: (760) 743-1431 |
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