Jacylyn Denise Wahl, MPAS, PA-C in Libertyville, IL

Jacylyn Denise Wahl, MPAS, PA-C is a medicare enrolled "Physician Assistant" in Libertyville, Illinois. Her current practice location is 150 E Cook Ave Ste 100, Libertyville, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 232-3342.

Jacylyn Denise Wahl is licensed to practice in Wisconsin (license number 4815) 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 1245715309.

Contact Information

	Jacylyn Denise Wahl, MPAS, PA-C
	150 E Cook Ave Ste 100, Libertyville, IL 60048-2060
	(847) 232-3342
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacylyn Denise Wahl
Gender	Female
Speciality	Physician Assistant
Location	150 E Cook Ave Ste 100, Libertyville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245715309
Provider Enumeration Date: 09/25/2018
Last Update Date: 01/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0244573111
Enrollment ID: I20240301001396

Medical Identifiers

Medical identifiers for Jacylyn Denise Wahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245715309	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	4815 (Wisconsin)	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. Jacylyn Denise Wahl 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
Jacylyn Denise Wahl, MPAS, PA-C 150 E Cook Ave Ste 100, Libertyville, IL 60048-2060 Ph: (847) 232-3342	Jacylyn Denise Wahl, MPAS, PA-C 150 E Cook Ave Ste 100, Libertyville, IL 60048-2060 Ph: (847) 232-3342

Reviews and Comments

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Jacylyn Denise Wahl, MPAS, PA-C - Medicare Physician Assistant in Libertyville, IL