| Shawna Marie Wilkerson, PA-C | |
|
1585 3rd St, Fort Johnson, LA 71459-5102 | |
| (337) 531-3011 | |
| Not Available |
| Full Name | Shawna Marie Wilkerson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1585 3rd St, Fort Johnson, Louisiana |
| 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 |
|---|---|---|---|
| 1518450048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-02107 (Kansas) | Secondary |
| 363A00000X | Physician Assistant | 4136 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physical Therapy Services Of West Louisiana Inc | 0446388763 | 92 |
| Entity Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawna Marie Wilkerson, PA-C 4100 Goss Rd Sw, Huntsville, AL 35809-0001 Ph: (256) 955-8888 | Shawna Marie Wilkerson, PA-C 1585 3rd St, Fort Johnson, LA 71459-5102 Ph: (337) 531-3011 |
Hanna Gustafson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Johnson, LA 71459 Phone: 337-531-3011 |
Joseph Lowery, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Johnson, LA 71459 Phone: 337-531-3628 |
Matthew Slocum, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Johnson, LA 71459 Phone: 419-764-3404 |
Daniel A Palma, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Johnson, LA 71459 Phone: 910-922-7664 |
Taylor Christopher Osborne, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Johnson, LA 71459 Phone: 901-304-5391 |
Joseph Donelson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Bayne-jones Army Community Hospital 1585 Third St, Fort Johnson, LA 71459 Phone: 337-531-3119 |