| Lacey Jean Wildeboer, PA | |
|
7201 Us Highway 64 E, Knightdale, NC 27545-9268 | |
| (919) 266-7600 | |
| Not Available |
| Full Name | Lacey Jean Wildeboer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 7201 Us Highway 64 E, Knightdale, North Carolina |
| 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 |
|---|---|---|---|
| 1477077089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-07379 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnston Health | Smithfield, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Of North Carolina Pc | 6002837572 | 173 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Jean Wildeboer, PA 7201 Us Highway 64 E, Knightdale, NC 27545-9268 Ph: (919) 266-7600 | Lacey Jean Wildeboer, PA 7201 Us Highway 64 E, Knightdale, NC 27545-9268 Ph: (919) 266-7600 |
Dale E. White, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 502 Mcknight Dr, Knightdale, NC 27545 Phone: 919-217-1411 Fax: 319-217-3084 | |
Kathryn Rena Hodges, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6905 Knightdale Blvd Ste 106, Knightdale, NC 27545 Phone: 919-261-8760 Fax: 919-261-8765 | |
Mrs. Allison Brooke Robey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6602 Knightdale Blvd Ste 102, Knightdale, NC 27545 Phone: 919-747-5210 | |
Mr. Christopher R Marshall, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 162 Legacy Oaks Dr, Knightdale, NC 27545 Phone: 919-373-1800 Fax: 919-373-1830 | |
Chad Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7201 Us 64 Hwy E, Knightdale, NC 27545 Phone: 919-751-5900 | |
Mr. Frank Joseph Ferritto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6807 Knightdale Blvd Ste C, Knightdale, NC 27545 Phone: 919-217-5510 Fax: 919-217-5501 | |
Christine Benigar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6807 Knightdale Blvd Ste C, Knightdale, NC 27545 Phone: 919-217-5510 Fax: 919-217-5501 |