Brett Lee Wilson, PA is a
Physician Assistant - Surgical physician based in Liberty, Missouri. Brett Lee Wilson is licensed to practice in Missouri (license number 2009014905) and his current practice location is 2521 Glenn Hendren Dr Ste 204, Liberty, Missouri. He can be reached at his office (for appointments etc.) via phone at
(816) 781-6066.
NPI number for Brett Lee Wilson is 1194726307 and his current mailing address is 1733 County Road 200, Emporia, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194726307.
Physician's Profile
| Full Name | Brett Lee Wilson |
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| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
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| Location | 2521 Glenn Hendren Dr Ste 204, Liberty, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194726307
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 06/19/2019
Medical Identifiers
Medical identifiers for Brett Lee Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194726307 | NPI | - | NPPES |
| 970000628 | Other | KS | PALMETTO RR MEDICARE |
| 100002860A | Medicaid | KS | |
| 50797021 | Other | MO | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 15-00245 (Kansas) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 2009014905 (Missouri) | 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. Brett Lee Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brett Lee Wilson, PA
1733 County Road 200,
Emporia, KS 66801-7672
Ph: (620) 343-8044 | Brett Lee Wilson, PA
2521 Glenn Hendren Dr Ste 204,
Liberty, MO 64068-3388
Ph: (816) 781-6066 |
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