Ms Jesalyn Dove Wilson, PA-C is a medicare enrolled "Physician Assistant" in Clarksville, Arkansas. Her current practice location is
25 Professional Park Dr, Clarksville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 705-8181.
Ms Jesalyn Dove Wilson is licensed to practice in Arkansas (license number P-T1518) 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 1205226925.
Provider's Profile
Full Name | Ms Jesalyn Dove Wilson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 25 Professional Park Dr, Clarksville, Arkansas |
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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: 1205226925
- Provider Enumeration Date: 02/02/2015
- Last Update Date: 06/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183941255
- Enrollment ID: I20150330001332
Medical Identifiers
Medical identifiers for Ms Jesalyn Dove Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205226925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | P-T1518 (Arkansas) | 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. Ms Jesalyn Dove 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 |
Ms Jesalyn Dove Wilson, PA-C 25 Professional Park Dr, Clarksville, AR 72830-4432 Ph: (479) 746-1877 | Ms Jesalyn Dove Wilson, PA-C 25 Professional Park Dr, Clarksville, AR 72830-4432 Ph: (479) 705-8181 |
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