Dr Jake Thomas Wilding, DDS in Fort Cavazos, TX

Dr Jake Thomas Wilding, DDS is a medicare enrolled "Dentist - Prosthodontics" provider in Fort Cavazos, Texas. His current practice location is Us Army Dental Health Activity, 36000 Shoemaker Lane, Suite 1051, Fort Cavazos, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 287-3105.

Dr Jake Thomas Wilding is licensed to practice in Utah (license number 8726975-9922) 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 1376975680.

Contact Information

	Dr Jake Thomas Wilding, DDS
	Us Army Dental Health Activity, 36000 Shoemaker Lane, Suite 1051, Fort Cavazos, TX 76544-7654
	(254) 287-3105
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jake Thomas Wilding
Gender	Male
Speciality	Dentist - Prosthodontics
Location	Us Army Dental Health Activity, Fort Cavazos, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376975680
Provider Enumeration Date: 08/09/2013
Last Update Date: 01/30/2025

Medicare PECOS Information:

PECOS PAC ID: 7214462274
Enrollment ID: I20241127002165

Medical Identifiers

Medical identifiers for Dr Jake Thomas Wilding such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376975680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	8726975-9922 (Utah)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	39234 (Texas)	Secondary
1223P0700X	Dentist - Prosthodontics	8726975-9922 (Utah)	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 Jake Thomas Wilding allows following entities to bill medicare on his behalf.

Entity Name	Scott & White Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640

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 Jake Thomas Wilding 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 Jake Thomas Wilding, DDS Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371	Dr Jake Thomas Wilding, DDS Us Army Dental Health Activity, 36000 Shoemaker Lane, Suite 1051, Fort Cavazos, TX 76544-7654 Ph: (254) 287-3105

Reviews and Comments

Dentist in Fort Cavazos, TX

Dr. Chase Stone Van Gorp, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 36000 Darnall Loop Ste 1051, Fort Cavazos, TX 76544 Phone: 254-287-1225
Dr. Robert R Thrasher, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 36000 Shoemaker Lane, Suite 1051, Fort Cavazos, TX 76544 Phone: 254-287-1225
Dr. Tess Ann Brunstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Usa Dentac Fort Cavazos, 36000 Shoemaker Lane, Suite 1051, Fort Cavazos, TX 76544 Phone: 816-482-6202
Dr. Chris K Wyszynski, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Usa Dentac Fort Cavazos, 36000 Shoemaker Lane Suite 1051, Fort Cavazos, TX 76544 Phone: 542-867-4022
Dr. Autumn Leigh-ann Becker, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: Usa Dentac Fort Cavazos, 36000 Shoemaker Lane, Suite 1051, Fort Cavazos, TX 76544 Phone: 254-287-2705
Dr. Dondra Alexis Fergerson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 36000 Shoemaker Lane, Suite 1051, Fort Cavazos, TX 76544 Phone: 254-287-2705
Timothy H. Ray, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: Usa Dentac Fort Cavazos, 36000 Shoemaker Lane, Suite 1051, Fort Cavazos, TX 76544 Phone: 910-570-3002

Dr Jake Thomas Wilding, DDS - Medicare Dentist in Fort Cavazos, TX