| Danielle K Wilson, PHYSICIAN ASSISTANT | |
|
100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | |
| (574) 647-3725 | |
| Not Available |
| Full Name | Danielle K Wilson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 100 Navarre Pl Ste 4440, South Bend, Indiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982248126 | NPI | - | NPPES |
| 300125681 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10005132A (Indiana) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 0110-007882 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chippenham And Johnston-willis Sports Medicine, Llc | 5698711356 | 6 |
| Professional Therapies Of Roanoke, Inc. | 3375710619 | 176 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle K Wilson, PHYSICIAN ASSISTANT 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-3725 | Danielle K Wilson, PHYSICIAN ASSISTANT 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 Ph: (574) 647-3725 |
Autumn Marie Hanna, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161 | |
Sean Robert Horner, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2102 E Inwood Rd, South Bend, IN 46614 Phone: 574-299-2411 Fax: 574-299-2410 | |
Gabriela L Taylor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9294 | |
Ms. Cami Jo Kistenfeger, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 745-247-9442 | |
Carolyn M Barbus, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Ms. Megan Kathleen Maloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9294 Fax: 574-237-9259 | |
Mr. Scott Mclaughlin, PA-C, M.S. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 |