| Debra L Wilder, MD | |
|
91 Cedar St, Kuttawa, KY 42055-6287 | |
| (270) 388-7380 | |
| (270) 388-7364 |
| Full Name | Debra L Wilder |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 91 Cedar St, Kuttawa, Kentucky |
| 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 |
|---|---|---|---|
| 1174513915 | NPI | - | NPPES |
| 64281686 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 28168 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 28168 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Caldwell County Hospital Hha | Princeton, KY | Home health agency |
| Pennyroyal Hospice Inc | Hopkinsville, KY | Hospice |
| Caldwell Medical Center | Princeton, KY | Hospital |
| Baptist Health Paducah | Paducah, KY | Hospital |
| Baptist Health Madisonville | Madisonville, KY | Hospital |
| Marshall County Hospital | Benton, KY | Hospital |
| Livingston Hospital And Healthcare Services, Inc | Salem, KY | Hospital |
| River's Bend Retirement Community | Kuttawa, KY | Nursing home |
| Dawson Springs Health And Rehabilitation Center | Dawson springs, KY | Nursing home |
| Princeton Nursing & Rehabilitation | Princeton, KY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kuttawa Clinic Pllc | 9133340466 | 2 |
| Entity Name | Kuttawa Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184034951 PECOS PAC ID: 9133340466 Enrollment ID: O20141029002068 |
| Entity Name | App Of Kentucky Ed, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497157341 PECOS PAC ID: 0749502862 Enrollment ID: O20141201000389 |
| Entity Name | Rh Emergency Medicine Of Caldwell Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881376747 PECOS PAC ID: 2163866781 Enrollment ID: O20240221004052 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra L Wilder, MD Po Box 370, 91 Cedar Street, Kuttawa, KY 42055-0370 Ph: (270) 388-7380 | Debra L Wilder, MD 91 Cedar St, Kuttawa, KY 42055-6287 Ph: (270) 388-7380 |