Brenda Kay Wilks (NPI# 1386996056, PAC ID# 1951548189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1386996056 |
| PAC ID by PECOS | 1951548189 |
| Professional Enrollment ID | I20130508000041 |
| Full Name | Brenda Kay Wilks |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| Address |
5905 N Mayfair St Suite 200 Spokane WA 99208-1127 |
| Phone Number | 5094567414 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3870480429 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500044 | DEACONESS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1807 N Hutchinson Rd, Spokane, WA 99212-2444 | 5094567414 | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| 400 E 5th Ave, Spokane, WA 99202-1334 | MULTICARE HEALTH SYSTEM | |
| 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 | 5094567414 | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| 1901 S Union Ave, Tacoma, WA 98405-1702 | MULTICARE HEALTH SYSTEM |
| Organization Legal Name | ADVANCED DERMATOLOGY AND SKIN SURGERY PLLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert C Reynaud | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1700 W Riverstone Dr, Coeur D Alene, ID 83814-5683 |
| Andrea M Dominey | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Joel K Sears | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Staci M Hestdalen | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Amy Nicole Nelson | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Lark Greenwald Guss | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Scott B Ahrndt | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Paul T Dunn | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Chadd J Sukut | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Travis James | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 1807 N Hutchinson Rd, Spokane, WA 99212-2444 |
| Street Address |
5905 N MAYFAIR ST SUITE 200 |
| City | SPOKANE |
| State | WA |
| Zip | 99208-1127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Duran | Occupational Therapy | Inspire Physical and Hand Therapy Spokane Inc Ps | 5905 N Mayfair St, Suite 100, Spokane, WA 99208-1127 |
| Joel K Sears | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Jayme K Gilliam | Occupational Therapy | Inspire Physical and Hand Therapy Spokane Inc Ps | 5905 N Mayfair St, Suite 100, Spokane, WA 99208-1127 |
| Staci M Hestdalen | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Amy Nicole Nelson | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Jennifer L Mock | Occupational Therapy | Inspire Physical and Hand Therapy Spokane Inc Ps | 5905 N Mayfair St, Suite 100, Spokane, WA 99208-1127 |
| Scott B Ahrndt | Physician Assistant | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Paul T Dunn | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Chadd J Sukut | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Steven L Dixon | Dermatology | Advanced Dermatology and Skin Surgery Pllc | 5905 N Mayfair St, Suite 200, Spokane, WA 99208-1127 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Delbert | Psychologist, Clinical | 6021 N Lidgewood St, Spokane, WA 99208 | |
| Thomas J Osten | Family Medicine | D and M Holdings LLC | 5904 N Division St, Spokane, WA 99208-1026 |
| Justin W Sassone | Physician Assistant | D and M Holdings LLC | 5904 N Division St, Spokane, WA 99208-1026 |
| Bobbi S Woodward | Nurse Practitioner | D and M Holdings LLC | 5904 N Division St, Spokane, WA 99208-1026 |
| Susan E Jensen | Physician Assistant | D and M Holdings LLC | 5904 N Division St, Spokane, WA 99208-1026 |
| Scott T Weldon | Physician Assistant | D and M Holdings LLC | 5904 N Division St, Spokane, WA 99208-1026 |
| Deborah L Miller | Nurse Practitioner | D and M Holdings LLC | 5904 N Division St, Franklin Park Urgent Care Center, Spokane, WA 99208-1026 |
| Kellie Lee Claire Duarte | Physician Assistant | Ideal Option, Pllc | 208 E Francis Ave, Spokane, WA 99208-1071 |
| Staci J Walner | Nurse Practitioner | Ideal Option, Pllc | 208 E Francis Ave, Spokane, WA 99208-1071 |
| Kasin Mayne Sanders | Physician Assistant | Ideal Telemedicine Services LLC | 208 E Francis Ave, Spokane, WA 99208-1071 |
| Find all physicians in zip 99208 | |||
| City | SPOKANE |
| Zip Code | 99208 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPOKANE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brenda Kay Wilks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.