| Paul Michael Wilde, PA-C, SCD | |
|
550 Pope Ave, Fort Leavenworth, KS 66027-2332 | |
| (913) 684-6198 | |
| (913) 684-6128 |
| Full Name | Paul Michael Wilde |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 550 Pope Ave, Fort Leavenworth, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558361535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1002775 NCCPA (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Michael Wilde, PA-C, SCD 5034 Mund Rd, Shawnee, KS 66218-9147 Ph: (913) 422-8477 | Paul Michael Wilde, PA-C, SCD 550 Pope Ave, Fort Leavenworth, KS 66027-2332 Ph: (913) 684-6198 |
Daniel M. Hale, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6000 | |
Dr. Robert Louis Petrone, PH.D., MPH, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Gentry Clinic Mahc, Fort Leavenworth, KS 66027 Phone: 913-684-6601 Fax: 913-684-6128 | |
Ms. Sherry Ann Hughes, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6000 | |
Abigail Jane Higgins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6250 | |
Miss Gail Tyria Houston, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 210 Grant Ave, Room 1809, Fort Leavenworth, KS 66027 Phone: 913-758-3791 | |
Deborah Lynn Hevel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6170 | |
Hannah N Dickins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6000 Fax: 913-684-6612 |