Mr Ty C Wade, DC is a medicare enrolled "Chiropractor" provider in Saukville, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 2001 and has 23 years of diverse experience with area of expertise as Chiropractic. His current practice location is
620 E. Green Bay Ave., Suite 104, Saukville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 284-0022.
Mr Ty C Wade is licensed to practice in Wisconsin (license number 4012-012) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922145101.
Healthcare Provider's Profile
| Full Name | Mr Ty C Wade |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 23 Years |
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| Location | 620 E. Green Bay Ave., Saukville, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Ty C Wade attended and graduated from Palmer College Chiropractic - Davenport in 2001
NPI Data:
- NPI Number: 1922145101
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 05/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395733208
- Enrollment ID: I20040430001179
Medical Identifiers
Medical identifiers for Mr Ty C Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922145101 | NPI | - | NPPES |
| 38950300 | Medicaid | WI | |
| 202500022 | Other | WI | UHC |
| 649385 | Other | WI | ACN |
| 202500022 | Other | WI | WEA |
| 202500022 | Other | WI | WPPN |
| 389-50300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4012-012 (Wisconsin) | 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. Mr Ty C Wade allows following entities to bill medicare on his behalf.
| Provider Name | Saukville Chiropractic Wellness Center Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1245407568
PECOS PAC ID: 5496826711
Enrollment ID: O20080613000374 |
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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. Mr Ty C Wade 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 |
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Mr Ty C Wade, DC
620 E. Green Bay Ave., Suite 104,
Saukville, WI 53080
Ph: (262) 284-0022 | Mr Ty C Wade, DC
620 E. Green Bay Ave., Suite 104,
Saukville, WI 53080
Ph: (262) 284-0022 |
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