| Samantha Wild, APRN FNP-C | |
|
5282 Medical Drive # 206, Paragon San Antonio Infusion Center, San Antonio, TX 78229 | |
| (210) 366-4358 | |
| (210) 366-4896 |
| Full Name | Samantha Wild |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 5282 Medical Drive # 206, San Antonio, Texas |
| 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 |
|---|---|---|---|
| 1750734265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP131123 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neurology Institute Of Kerrville Pllc | 3678937687 | 10 |
| Mpp Infusion Center Of Tyler Llc | 5496019507 | 12 |
| Multigroup Physician Practice Of Texas | 1557591971 | 14 |
| Suzanne K. Gazda, Md, Pllc | 0143267161 | 6 |
| Innovative Infusions Llc | 6608054044 | 102 |
| Entity Name | Suzanne K. Gazda, MD, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710949698 PECOS PAC ID: 0143267161 Enrollment ID: O20051027000480 |
| Entity Name | Innovative Infusions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811299944 PECOS PAC ID: 6608054044 Enrollment ID: O20110707000108 |
| Entity Name | Multigroup Physician Practice of Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174953194 PECOS PAC ID: 1557591971 Enrollment ID: O20140305000642 |
| Entity Name | Mpp Infusion Center of Tyler LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952812109 PECOS PAC ID: 5496019507 Enrollment ID: O20180425002174 |
| Entity Name | Neurology Institute of Kerrville PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467107706 PECOS PAC ID: 3678937687 Enrollment ID: O20230908003613 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Wild, APRN FNP-C 23218 Bison Cyn, San Antonio, TX 78261-2673 Ph: (210) 310-9833 | Samantha Wild, APRN FNP-C 5282 Medical Drive # 206, Paragon San Antonio Infusion Center, San Antonio, TX 78229 Ph: (210) 366-4358 |
Mrs. Kimberly Anne Lucas Slimane, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Spurs Ln Ste 230b, San Antonio, TX 78240 Phone: 210-690-7400 Fax: 210-690-7405 |
Kathleen Marie Cox, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8401 Datapoint Dr Ste 421, San Antonio, TX 78229 Phone: 210-558-1800 Fax: 800-825-8907 |
Jessica M. Stephens, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4507 Medical Dr, San Antonio, TX 78229 Phone: 210-692-0234 |
Ms. Amber Renee Hoberg, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7622 Louis Pasteur Dr, Ste 100, San Antonio, TX 78229 Phone: 210-614-7840 Fax: 210-562-2252 |
Elizabeth Marie Hernandez, RN, MSN, WHCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4503 S Zarzamora St, San Antonio, TX 78211 Phone: 210-644-8600 Fax: 210-644-8625 |
Elizabeth A Hallman, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7400 Merton Minter St, San Antonio, TX 78229 Phone: 210-617-5300 |
Carlee D Dunlap, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5107 Medical Dr, San Antonio, TX 78229 Phone: 210-614-8612 Fax: 210-692-8852 |