Jared Kent Wilson, PA-C, MPAS, MED, ATC is a surgical physician assistant in Pocatello, ID with 13 years of experience. Jared Kent Wilson, PA-C, MPAS, MED, ATC NPI is 1275748089. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
777 HOSPITAL WAY
BUILDING A, SUITE 201
POCATELLO, ID
ZIP 83201-175
Phone: (208) 239-2714
The NPI 1275748089 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Removal of gallbladder using an endoscope (HCPCS:47562)
The enumeration date for this NPI number is 5/14/2007 and was last updated on 12/30/2011.