Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael W Wilt, PA

Individual provider Medical Physician Assistant · NPI 1598856114

Michael W Wilt, PA is a Physician Assistant in Coudersport, Pennsylvania. Qualified in 2006, 20 years ago. Practices with General Physician PC, a 487-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1001 E 2nd St
Coudersport, PA 16915-8161
Phone: (814) 274-9300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 140 W Main St, Cuba, NY 14727-1317 — (585) 968-2000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 011849 (NY)

Record details

NPI number1598856114
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021
Mailing address55 Walker Ave, Bradford, PA 16701-1230

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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