Dr Jordan William Wilde, DC in Gresham, OR - Medicare Chiropractor Provider

Dr Jordan William Wilde, DC is a medicare enrolled "Chiropractor" provider in Gresham, Oregon. His current practice location is 191 Se Stark Street, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 328-9300.

Dr Jordan William Wilde is licensed to practice in Oregon (license number 5033) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922370543.

Contact Information

	Dr Jordan William Wilde, DC
	191 Se Stark Street, Gresham, OR 97233-8386
	(503) 328-9300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jordan William Wilde
Gender	Male
Speciality	Chiropractor
Location	191 Se Stark Street, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922370543
Provider Enumeration Date: 01/27/2012
Last Update Date: 10/13/2020

Medicare PECOS Information:

PECOS PAC ID: 3779994983
Enrollment ID: I20201119000931

Medical Identifiers

Medical identifiers for Dr Jordan William Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922370543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	5033 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jordan William Wilde allows following entities to bill medicare on his behalf.

Provider Name	Milwaukie Spine And Sport, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679850010 PECOS PAC ID: 0446661730 Enrollment ID: O20201117001508

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. Dr Jordan William Wilde is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jordan William Wilde, DC 15777 Se Ruby Dr, Milwaukie, OR 97267-3703 Ph: () -	Dr Jordan William Wilde, DC 191 Se Stark Street, Gresham, OR 97233-8386 Ph: (503) 328-9300

Reviews and Comments

Chiropractor in Gresham, OR

Dr. Mark Anthony Betsill, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 23479 Se Stark St Ste 101, Gresham, OR 97030 Phone: 503-618-0147 Fax: 503-618-0148
Evergreen Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 657 Ne Hood Ave, Gresham, OR 97030 Phone: 503-912-1156 Fax: 971-292-2932
Balance Chiropractor Medicare: Medicare Enrolled Practice Location: 1217 Ne Burnside Rd Ste 301, Gresham, OR 97030 Phone: 503-492-2625 Fax: 503-492-2355
Dr. Kenneth Leon Wecker, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 23440 Se Stark St, Gresham, OR 97030 Phone: 503-489-6245 Fax: 503-489-0552
Dr. Gary A. Johnson, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 417 E Powell Blvd, Gresham, OR 97030 Phone: 503-665-2517 Fax: 503-667-3239
Dr. Katie Anne Steinke, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2444 Ne Division St, Gresham, OR 97030 Phone: 503-667-1010
Renewal Centers Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1240 Ne Burnside Rd, Gresham, OR 97030 Phone: 503-667-9300 Fax: 503-667-4975

Dr Jordan William Wilde, DC - Medicare Chiropractor in Gresham, OR