| Mr Wesley Wilson, PA-C | |
|
4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | |
| (407) 322-8645 | |
| (407) 269-8986 |
| Full Name | Mr Wesley Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4930 E Lake Mary Blvd, Sanford, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760266373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9117569 (Florida) | Primary |
| Entity Name | Premier Community Health Care Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841263399 PECOS PAC ID: 3476450818 Enrollment ID: O20031215000701 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wesley Wilson, PA-C 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 Ph: (407) 322-8645 | Mr Wesley Wilson, PA-C 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 Ph: (407) 322-8645 |
Mrs. Sandra Verret Joachim, RPAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1403 Medical Plaza Dr, Suite 109, Sanford, FL 32771 Phone: 407-323-5999 |
Mrs. Kristen Marie Grider, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1621 W 1st St, Sanford, FL 32771 Phone: 407-322-4431 Fax: 407-322-4448 |
Daisy Renteria, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 |
John Simonson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 N Mangoustine Ave Unit G, Sanford, FL 32771 Phone: 321-363-1754 Fax: 321-363-3336 |
Matthew Combes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1403 Medical Plaza Dr, Suite 102, Sanford, FL 32771 Phone: 321-348-4838 Fax: 407-303-7752 |
Jennifer Wheeler, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 W Seminole Blvd, Central Florida Regional Hospital, Sanford, FL 32771 Phone: 407-321-4500 |
Ahla Husain, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1403 Medical Plaza Dr Ste 207, Sanford, FL 32771 Phone: 321-364-0728 Fax: 321-364-0729 |