Kathleen Joanne Wild, MD | |
16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | |
(276) 628-9794 | |
(276) 628-1260 |
Full Name | Kathleen Joanne Wild |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184897670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD.29730 (Alabama) | Secondary |
207L00000X | Anesthesiology | 0101251512 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Johnston Memorial Hospital | Abingdon, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Virginia Highlands Anesthesia Pc | 0648266437 | 26 |
Entity Name | Virginia Highlands Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508830993 PECOS PAC ID: 0648266437 Enrollment ID: O20040426000787 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Joanne Wild, MD Po Box 1476, Abingdon, VA 24212-1476 Ph: (276) 628-9794 | Kathleen Joanne Wild, MD 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 Ph: (276) 628-9794 |
Ms. Deneene Raphaelle Booth, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 601 Campus Dr, Abingdon, VA 24210 Phone: 276-258-1670 | |
Kevin Armstrong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 351 Court St, Abingdon, VA 24210 Phone: 276-676-7127 | |
Dr. Mark William Simcox, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-258-1000 | |
Daniel Brian Dix, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-258-1000 | |
Thomas G Sutton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 613 Campus Dr, Suite 100, Abingdon, VA 24210 Phone: 276-258-1670 Fax: 276-258-1672 | |
Dr. Robert Dickenson Gilmer, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 470 Waldon Rd, Abingdon, VA 24210 Phone: 276-628-9794 |