Walter Michael Wildman, is a
Student In An Organized Health Care Education/training Program based in Indianapolis, Indiana. Walter Michael Wildman is licensed to practice in * (Not Available) (license number ) and his current practice location is
5602 Caito Dr, Indianapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 942-3102.
NPI number for Walter Michael Wildman is 1538926811 and his current mailing address is 1138 Chattanooga Cir, Indianapolis, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538926811.
Healthcare Provider's Profile
Full Name | Walter Michael Wildman |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5602 Caito Dr, Indianapolis, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538926811
- Provider Enumeration Date: 03/04/2024
- Last Update Date: 05/13/2024
Medical Identifiers
Medical identifiers for Walter Michael Wildman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538926811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Walter Michael Wildman 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 |
Walter Michael Wildman, 1138 Chattanooga Cir, Indianapolis, IN 46229-9611 Ph: (812) 298-4841 | Walter Michael Wildman, 5602 Caito Dr, Indianapolis, IN 46226-1346 Ph: (317) 942-3102 |
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