Wildwood Medicine is a
Physical Therapist based in Portland, Maine. Wildwood Medicine is licensed to practice in Maine (license number PT3116) and their current practice location is
83 India St, Portland, Maine. It can be reached at their office (for appointments etc.) via phone at
(207) 347-7132.
NPI number for Wildwood Medicine is 1063671121 and their current mailing address is Po Box 7412, Portland, Maine. Wildwood Medicine
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1063671121.
Healthcare Provider's Profile
Full Name | Wildwood Medicine |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 83 India St, Portland, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063671121
- Provider Enumeration Date: 06/04/2008
- Last Update Date: 09/08/2014
Medical Identifiers
Medical identifiers for Wildwood Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063671121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC281 (Maine) | Secondary |
171100000X | Acupuncturist | AC308 (Maine) | Secondary |
225100000X | Physical Therapist | PT3116 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wildwood Medicine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wildwood Medicine Po Box 7412, Portland, ME 04112 Ph: (207) 347-7132 | Wildwood Medicine 83 India St, Portland, ME 04101-4210 Ph: (207) 347-7132 |
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