Premier Wellcare, Inc.
NPI 1639437684ActiveOrganization· Physician Assistant· Park Ridge, IL
Physician Assistant in Park Ridge, Illinois, registered in NPPES in April 2012. The authorized official on file is Samantha A. Vasich, Wellness Program Manager.
Overview
| NPI | 1639437684 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2012 |
| Last updated in NPPES | May 22, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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