| Dr Michael J Wahl, MD | |
|
13910 Lakeshore Blvd, Suite 140, Hudson, FL 34667-1481 | |
| (727) 869-9300 | |
| (727) 869-0636 |
| Full Name | Dr Michael J Wahl |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 41 Years |
| Location | 13910 Lakeshore Blvd, Hudson, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114017142 | NPI | - | NPPES |
| 370704100 | Medicaid | FL | |
| P00444360 | Other | PGBA - RAILROAD MEDICARE | |
| 280177900 | Medicaid | FL | |
| 002224500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME0062494 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Visiting Nurse Association Of Florida Inc | Weeki wachee, FL | Home health agency |
| Regional Medical Center Bayonet Point | Hudson, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Florida Cardiology Network, Llc | 8729260641 | 75 |
| Entity Name | Michael Wahl Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144415126 PECOS PAC ID: 4880783968 Enrollment ID: O20071128000267 |
| Entity Name | West Florida Cardiology Network, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801198023 PECOS PAC ID: 8729260641 Enrollment ID: O20110314000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael J Wahl, MD 13910 Lakeshore Blvd, Suite 140, Hudson, FL 34667-1481 Ph: (727) 869-9300 | Dr Michael J Wahl, MD 13910 Lakeshore Blvd, Suite 140, Hudson, FL 34667-1481 Ph: (727) 869-9300 |
Dr. Marshall Matthew Desantis, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 14100 Fivay Rd, Suite 300, Hudson, FL 34667 Phone: 727-869-7497 Fax: 727-869-7156 |