| Travis B Wilson, PA | |
|
140 W Main St, Suite 100, Springfield, OH 45502-1312 | |
| (937) 398-1066 | |
| (937) 398-1076 |
| Full Name | Travis B Wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 140 W Main St, Springfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053408591 | NPI | - | NPPES |
| 2723 | Other | OH | PA LICENSE |
| 11949409 | Other | OH | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1140 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | 2723 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Travis B Wilson, PA 140 W Main St, Suite 100, Springfield, OH 45502-1312 Ph: (937) 398-1066 | Travis B Wilson, PA 140 W Main St, Suite 100, Springfield, OH 45502-1312 Ph: (937) 398-1066 |
Jeremy Washington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 937-523-1461 Fax: 937-523-1590 | |
Gregory Elton Mann, MPAS, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2600 N Limestone St, Springfield, OH 45503 Phone: 937-523-9850 | |
Leanne Margaret Casserlie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 W Mccreight Ave Ste 106, Springfield, OH 45504 Phone: 937-523-9885 Fax: 937-523-9886 | |
Ragen Elizabeth Engel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3250 Middle Urbana Rd, Springfield, OH 45502 Phone: 937-399-7777 | |
Aaron Joseph Jolliff, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Emergency Department, Springfield, OH 45504 Phone: 937-523-1461 | |
Marin Elise Kitchens, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 247 S Burnett Rd Ste 210, Springfield, OH 45505 Phone: 937-328-8850 Fax: 937-328-8860 |