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David Joseph Wilhelm

Internal Medicine

Allopathic & Osteopathic Physicians

550 S Jackson St Fl Street3, Louisville, KY 40202-1622

PECOS Enrollment

This provider is enrolled in PECOS as DAVID WILHELM.

Based on the most recent information from CMS, provider David Joseph Wilhelm is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1164050035
Provider Type
Individual
Full Name
Wilhelm, David Joseph
Gender
Male

Sole Proprietor
No
Enumeration Date
3/27/2020
Last Updated
12/14/2022

Contact Information

Practice Location

550 S Jackson St Fl Street3, Louisville, KY 40202-1622

(502) 852-5666

Unlisted Fax

Mailing Location

550 S Jackson St Fl Street3, Louisville, KY 40202-1622

(502) 852-5666

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License R5598 Kentucky
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

David Joseph Wilhelm

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Holthouser, Amy L.

Medical Center Internists, Psc

University Of Louisville Physicians, Inc.

Azabache Orrillo, Hilda Evelyn

Tammo, Sami

Hannah, Benjamin

Staley, Stella R.

University Of Louisville Research Foundation

Hiser-Kohler, Melissa M

Rouchka, Jennifer Tobias