Mrs Sondra Wilder, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Tuscaloosa, Alabama. Her current practice location is
3701 Loop Rd, Tuscaloosa, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 554-2000.
Mrs Sondra Wilder is licensed to practice in Alabama (license number 1-048457) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497722995.
Healthcare Provider's Profile
Full Name | Mrs Sondra Wilder |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 3701 Loop Rd, Tuscaloosa, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497722995
- Provider Enumeration Date: 03/02/2006
- Last Update Date: 03/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315199031
- Enrollment ID: I20230915003524
Medical Identifiers
Medical identifiers for Mrs Sondra Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497722995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1-048457 (Alabama) | 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. Mrs Sondra Wilder allows following entities to bill medicare on her behalf.
Entity Name | The Duff Wilder Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932854908 PECOS PAC ID: 8628432184 Enrollment ID: O20230915003373 |
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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. Mrs Sondra Wilder 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 |
Mrs Sondra Wilder, CRNP 3701 Loop Rd, Tuscaloosa, AL 35404-5015 Ph: (205) 554-2000 | Mrs Sondra Wilder, CRNP 3701 Loop Rd, Tuscaloosa, AL 35404-5015 Ph: (205) 554-2000 |
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