| Mr William Allen Baxter, PA-C | |
|
2817 Rock Merritt Ave, Fort Bragg, NC 28310-9712 | |
| (910) 907-8922 | |
| (910) 907-6069 |
| Full Name | Mr William Allen Baxter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2817 Rock Merritt Ave, Fort Bragg, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215661541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA16348 (Texas) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Sports Medicine Associates of San Antonio PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861549503 PECOS PAC ID: 3274525548 Enrollment ID: O20040330001024 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Allen Baxter, PA-C 2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001 Ph: (910) 907-8922 | Mr William Allen Baxter, PA-C 2817 Rock Merritt Ave, Fort Bragg, NC 28310-9712 Ph: (910) 907-8922 |
Bonnie Claire-kamei Barkley, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |
Mr. Brent Francis Bachman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2817 Reilly Street, Fort Bragg, NC 28310 Phone: 910-907-8617 |
Johnathan Hoggatt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 |
Mr. Thomas Jones Matherly, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Road, Womack Army Medical Center Dooh Pes Meb, Fort Bragg, NC 28310 Phone: 910-907-8602 Fax: 910-907-8602 |
Chelsea Joanna Mccully, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |
Thad J Dabback, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-8707 |
Mr. Kurt Hammermueller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Rd, Wamcak Army Medical Center, Fort Bragg, NC 28310 Phone: 910-951-4393 Fax: 910-907-4222 |