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Kayla Deneen Wilson

Emergency Medicine

Allopathic & Osteopathic Physicians

1872 St Lukes Blvd, Easton, PA 18045-5669

PECOS Enrollment

This provider is enrolled in PECOS as KAYLA WILSON.

Based on the most recent information from CMS, provider Kayla Deneen Wilson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1124869599
Provider Type
Individual
Full Name
Wilson, Kayla Deneen
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/1/2024
Last Updated
6/1/2024

Contact Information

Practice Location

1872 St Lukes Blvd, Easton, PA 18045-5669

(484) 526-1000

Unlisted Fax

Mailing Location

1700 St Lukes Blvd, Easton, PA 18045-5670

(484) 526-1000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License MT232176 Pennsylvania

Kayla Deneen Wilson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kraft, Kenya Amanda Jean

Woodrow, Ashley Cristen

De Ocejo, Timothy

Rohrbaugh, Chance Kenneth

Hew, Miles

Yoshihara, Melanie Kimiko

Steele, Kelsey

Muller, Franciscus Jacobus

Woodward, Benjamin William

Hunt, Andrew Paul