Madeline Marie Wilks, NP is a
Nurse Practitioner - Family based in Black Jack, Missouri. Madeline Marie Wilks is licensed to practice in Missouri (license number 2019024655) and her current practice location is
5092 Bristol Rock Rd, Black Jack, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 532-8661.
NPI number for Madeline Marie Wilks is 1316578297 and her current mailing address is 5092 Bristol Rock Rd, Black Jack, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316578297.
Provider's Profile
| Full Name | Madeline Marie Wilks |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 5092 Bristol Rock Rd, Black Jack, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316578297
- Provider Enumeration Date: 01/30/2020
- Last Update Date: 01/30/2020
Medical Identifiers
Medical identifiers for Madeline Marie Wilks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316578297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 2019024655 (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. Madeline Marie Wilks 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 |
Madeline Marie Wilks, NP 5092 Bristol Rock Rd, Black Jack, MO 63033-7533 Ph: (314) 532-8661 | Madeline Marie Wilks, NP 5092 Bristol Rock Rd, Black Jack, MO 63033-7533 Ph: (314) 532-8661 |
Reviews and Comments