| Kassidy Wilson, | |
|
141 N Forge St, Akron, OH 44304-1407 | |
| (734) 788-9747 | |
| Not Available |
| Full Name | Kassidy Wilson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 141 N Forge St, Akron, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164160578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 50.007803RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | 4M Emergency Systems LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932152584 PECOS PAC ID: 7719882182 Enrollment ID: O20031201000099 |
| Entity Name | Emergency Medicine Physicians of Franklin County, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538108501 PECOS PAC ID: 6002714383 Enrollment ID: O20031223000509 |
| Entity Name | Emergency Medicine Physicians of Cuyahoga County, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265471148 PECOS PAC ID: 1153216965 Enrollment ID: O20040219000948 |
| Entity Name | Mahoning Valley Emergency Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869652 PECOS PAC ID: 5698758993 Enrollment ID: O20040609000114 |
| Entity Name | Mves Austintown LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972555944 PECOS PAC ID: 1355308875 Enrollment ID: O20041216000550 |
| Entity Name | Mves Boardman LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205888237 PECOS PAC ID: 4688694722 Enrollment ID: O20051202000794 |
| Mailing Address | Practice Location Address |
|---|---|
| Kassidy Wilson, 141 N Forge St, Akron, OH 44304-1407 Ph: (734) 788-9747 | Kassidy Wilson, 141 N Forge St, Akron, OH 44304-1407 Ph: (734) 788-9747 |