| Kayci Dial Wilson, NURSE PRACTITIONER | |
|
815 S Pine St, Vivian, LA 71082-3353 | |
| (318) 375-3239 | |
| (318) 375-2755 |
| Full Name | Kayci Dial Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 815 S Pine St, Vivian, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720205586 | NPI | - | NPPES |
| 2100360 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP05072 (Louisiana) | Primary |
| 163W00000X | Registered Nurse | RN097383 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Caddo Medical Center | Vivian, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Caddo Hospital Service District | 4385544584 | 12 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326016684 PECOS PAC ID: 4385544584 Enrollment ID: O20040113000307 |
| Entity Name | North Caddo Hospital Service District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477798668 PECOS PAC ID: 4385544584 Enrollment ID: O20090424000082 |
| Entity Name | Benton Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932585841 PECOS PAC ID: 1456669654 Enrollment ID: O20151008001618 |
| Entity Name | Blanchard Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760089791 PECOS PAC ID: 8325450315 Enrollment ID: O20201216001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayci Dial Wilson, NURSE PRACTITIONER 815 S Pine St, Vivian, LA 71082-3353 Ph: (318) 375-3239 | Kayci Dial Wilson, NURSE PRACTITIONER 815 S Pine St, Vivian, LA 71082-3353 Ph: (318) 375-3239 |
Steven L Mcrae, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9095 Hosston Vivian Rd, Vivian, LA 71082 Phone: 318-465-7368 | |
Sean W. Landreneau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1003 S Spruce St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2755 | |
Kristen M. Hill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-5967 | |
Michael Ryan Thomas, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 912 S Pecan St, Vivian, LA 71082 Phone: 318-375-2203 |