Kristen Jean Wilmot, PA-C is a medicare enrolled "Physician Assistant - Medical" in Mansfield Center, Connecticut. Her current practice location is
189 Storrs Rd, Mansfield Center, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 456-1311.
Kristen Jean Wilmot is licensed to practice in Connecticut (license number 4200) 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 1699260109.
Provider's Profile
| Full Name | Kristen Jean Wilmot |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 189 Storrs Rd, Mansfield Center, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699260109
- Provider Enumeration Date: 06/27/2018
- Last Update Date: 11/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850642638
- Enrollment ID: I20180918000807
Medical Identifiers
Medical identifiers for Kristen Jean Wilmot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699260109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AS0400X | Physician Assistant - Surgical | 23.004200 (Connecticut) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 4200 (Connecticut) | 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. Kristen Jean Wilmot 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 |
Kristen Jean Wilmot, PA-C 39 Woodstock Rd, Pomfret Center, CT 06259-1226 Ph: (203) 929-9410 | Kristen Jean Wilmot, PA-C 189 Storrs Rd, Mansfield Center, CT 06250-1683 Ph: (860) 456-1311 |
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