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
  Education Fees

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  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