Active NPIIndividual provider

Bethan H Wilsack, PA

Physician Assistant, Medical in Burlington, Massachusetts

NPI Number1902957301
Practice location
67 S Bedford St Ste 202E, Burlington, MA 01803-5141
Fax
781-744-5236
Last updated
April 8, 2021

Bethan H Wilsack is a Physician Assistant, Medical based in Burlington, MA. Bethan H Wilsack practices in Burlington, MA and has the professional credentials of PA. The NPI Number for Bethan H Wilsack is 1902957301 and holds a License No. PA1025 (MA). The current practice location address for Bethan H Wilsack is 67 S Bedford St Ste 202E, Burlington, MA 01803-5141 and can be reached out via phone at 781-744-7000 and via fax at 781-744-5236.

Provider Profile Details

NPI Number
1902957301
Provider Name
Bethan H Wilsack
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
67 S Bedford St Ste 202E, Burlington, MA 01803-5141
Phone Number
781-744-7000
Fax Number
781-744-5236
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
January 15, 2007
Last Update Date
April 8, 2021
Certification Date
April 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 S Bedford St Ste 202E
Burlington, MA 01803-5141
Zip
01803-5141
Phone Number
781-744-7000
Fax Number
781-744-5236
Burlington, MA 01803Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-8000
Fax Number
781-744-5236

License Information

License Number
PA1025
License State
MA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bethan H Wilsack, PA?

The NPI number of Bethan H Wilsack, PA is 1902957301. It was assigned on January 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Bethan H Wilsack, PA?

Bethan H Wilsack, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA1025.

Where does Bethan H Wilsack, PA practice?

The practice location is 67 S Bedford St Ste 202E, Burlington, MA 01803-5141. The office can be reached at 781-744-7000 (phone) or 781-744-5236 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902957301 directly on the NPPES registry website.

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