Physician Pay - Test

Provider Payment

Thank you for submitting your payment online. Please complete the information below. (* fields are required)

 
First Name *
Middle Name *
Last Name *
Email Address
Provider Group*
 
  I am submitting payment for: (please check all that apply)

Application Fees
  Medical Staff Dues
 *
 
 
 
  If you have any questions please call Medical Staff Services at 919-350-8114.
When you click Pay Online, you will be automatically redirected to the First Data
website to securely enter your payment information.

Thank you for your payment.

WakeMed Medical Staff Services