Kyle Alan Wilson, PA is a medicare enrolled "Physician Assistant" physician in Charlottesville, Virginia. His current practice location is
2280 Ivy Rd Ste 1304, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 243-5432.
Kyle Alan Wilson is licensed to practice in Virginia (license number 0110009166) 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 1265136964.
Physician's Profile
| Full Name | Kyle Alan Wilson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 2280 Ivy Rd Ste 1304, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265136964
- Provider Enumeration Date: 03/28/2023
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082079769
- Enrollment ID: I20230502002527
Medical Identifiers
Medical identifiers for Kyle Alan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265136964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 0110009166 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110009166 (Virginia) | 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. Kyle Alan 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 Address | Practice Location Address |
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Kyle Alan Wilson, PA
Po Box 9007,
Charlottesville, VA 22906-9007
Ph: () - | Kyle Alan Wilson, PA
2280 Ivy Rd Ste 1304,
Charlottesville, VA 22903-4977
Ph: (434) 243-5432 |
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