JARED WILSON, PA-C, MPAS, MED, ATC

Surgical Physician Assistant · POCATELLO, ID

Individual Active NPI 1275748089

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20242941$16,186$3,906$2,890
20234880$31,466$7,956$6,020
20225584$38,643$7,615$5,990

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400XPA-952ID
Athletic Trainer2255A2300XAT-492ID

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Surgical Physician Assistant providers in Idaho

See all Surgical Physician Assistant providers in Idaho

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.