Dr Sharon Lynn Wilt, MD | |
2400 Unser Blvd Se, Rio Rancho, NM 87124 | |
(601) 942-0179 | |
Not Available |
Full Name | Dr Sharon Lynn Wilt |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2400 Unser Blvd Se, Rio Rancho, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760492185 | NPI | - | NPPES |
03075562 | Medicaid | MS | |
003124060 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 66842 (Georgia) | Primary |
Entity Name | Phoebe Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Mailing Address | Practice Location Address |
---|---|
Dr Sharon Lynn Wilt, MD 521 River Overlook, Forsyth, GA 31029-4898 Ph: (601) 942-0179 | Dr Sharon Lynn Wilt, MD 2400 Unser Blvd Se, Rio Rancho, NM 87124 Ph: (601) 942-0179 |
Kristina Gutierrez-barela, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1721 Rio Rch Dr Se, Rio Rancho, NM 87124 Phone: 505-896-8600 Fax: 505-896-8612 | |
Dr. Chelsea Jean Sanchez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2411 Cabezon Blvd Se Ste 103, Rio Rancho, NM 87124 Phone: 505-272-1088 Fax: 505-272-6845 | |
James S Bruce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4005 High Resort Blvd Se, Pmg High Resort 4005, Rio Rancho, NM 87124 Phone: 505-462-6000 Fax: 505-462-6006 | |
Dr. Michael A Klein, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4005 High Resort Blvd Se, Pmg Rio Rancho High Resort 4005, Rio Rancho, NM 87124 Phone: 505-462-6000 Fax: 505-462-8686 | |
John M Good, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1721 Rio Rancho Dr Se, Rio Rancho, NM 87124 Phone: 505-896-8600 Fax: 505-896-8612 | |
Philip J Leonardelli, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1704 Southern Blvd Se, Rio Rancho, NM 87124 Phone: 505-994-3256 Fax: 603-947-3608 | |
Dr. Simone Green, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4005 High Resort Blvd Se, Rio Rancho, NM 87124 Phone: 505-462-6000 Fax: 505-462-8686 |