Dr Christina Kim Wilson, PHD - Medicare Psychologist in Boise, ID

Dr Christina Kim Wilson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Boise, Idaho. Her current practice location is 444 W Fort St Fl 2, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 422-1018.

Dr Christina Kim Wilson is licensed to practice in Georgia (license number PSY003679) 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 1962665299.

Contact Information

Dr Christina Kim Wilson, PHD
444 W Fort St Fl 2,
Boise, ID 83702-4535
(208) 422-1018
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Christina Kim Wilson
GenderFemale
SpecialityPsychologist - Clinical
Location444 W Fort St Fl 2, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962665299
  • Provider Enumeration Date: 07/07/2008
  • Last Update Date: 08/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062875248
  • Enrollment ID: I20230906001221

Medical Identifiers

Medical identifiers for Dr Christina Kim Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962665299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY003679 (Georgia)Secondary
103TB0200XPsychologist - Cognitive & Behavioral PSY003679 (Georgia)Secondary
103TF0000XPsychologist - Family PSY003679 (Georgia)Secondary
103TP2701XPsychologist - Group Psychotherapy PSY003679 (Georgia)Secondary
103TC0700XPsychologist - Clinical PSY003679 (Georgia)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. Dr Christina Kim 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 AddressPractice Location Address
Dr Christina Kim Wilson, PHD
444 W Fort St Fl 2,
Boise, ID 83702-4535

Ph: (208) 422-1018
Dr Christina Kim Wilson, PHD
444 W Fort St Fl 2,
Boise, ID 83702-4535

Ph: (208) 422-1018

Reviews and Comments


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