Michael Anthony Paglia, P.A.
Individual provider Active NPI Physician Assistant · Casper, WY
NPI 1376799304 · NPPES record last updated Mar 21, 2017
Key facts
- NPI
- 1376799304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 438 (WY)
- Practice address
- 4531 E 21St St
Casper, WY 82609-3870 - Phone
- (307) 277-3867
- NPI assigned
- Aug 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sterling Provider Group
Practice addresses (Care Compare)
2761 Commercial Way
Rock Springs, WY 82901-4753
Phone (307) 382-3064
47 Doc Perkes
Afton, WY 83110-7703
Phone (307) 885-3637
Hospital & facility affiliations
- Memorial Hospital Sweetwater County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080828000469 | WY | Practitioner - Physician Assistant | 1658447545 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Provider Group | Current |
Accepting new patients | |
| Sterling Provider Group | Current |
Accepting new patients | |
| Medi Horizons Inc | Past | Accepting new patients |
Locations
740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111
47 Doc Perkes
Afton, WY 83110
Phone (307) 734-5864
1952 Harrison Dr
Evanston, WY 82930
Phone (307) 288-0404
2761 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-3064
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 438 | WY | |
| Physician Assistant | 363A00000X | 438 | WY | Yes |
Addresses
Primary practice location
4531 E 21St St
Casper, WY 82609-3870
Mailing address
428 S Durbin St
Ste 104
Casper, WY 82601-2818
Phone (307) 277-3867
Other providers in Casper, WY
- Maliha D Owens
- Sierra Oxford
- Reyes Pacheco
- Rita Padilla
- Tamara Kaye Page
- Pain Care Center, LLC
- Bradley J Palmer
- Tiffany Palmer
- Pamela Mills Physical Therapist LLC
- Wenyuan Lucy Pao
All providers in Casper, WY · Physician Assistant in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.