MS. Ivy Meg Wilson, PA-C
MS. Ivy Meg Wilson, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2022, 4 years ago. Practices with Direct Orthopedic Care LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 4
- Licensed in
- ID
- In the registry since
- 2022
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2893 S Cadet PlBoise, ID 83706-5133
Phone: (208) 313-8213
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (ID) |
|---|---|
| Vascular-Interventional Technology Radiologic Technologist | Taxonomy 2471V0106X · Licence 541174 (ID) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1346970654 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 10, 2022 |
| Last updated in NPPES | October 6, 2022 |
| Certification date | October 6, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Direct Orthopedic Care Llc — 31 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |