Dr Madelaine Wade, MD is a
Family Medicine based in Fort Worth, Texas. Dr Madelaine Wade is licensed to practice in Texas (license number V4774) and her current practice location is
1500 S Main St, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 702-1244.
NPI number for Dr Madelaine Wade is 1306214341 and her current mailing address is 1500 South Main Street, Jps Family Medicine Department, Fort Worth, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306214341.
Healthcare Provider's Profile
Full Name | Dr Madelaine Wade |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 1500 S Main St, Fort Worth, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306214341
- Provider Enumeration Date: 09/08/2015
- Last Update Date: 11/05/2024
Medical Identifiers
Medical identifiers for Dr Madelaine Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306214341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164.006645 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Texas) | Secondary |
207Q00000X | Family Medicine | V4774 (Texas) | 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. Dr Madelaine Wade 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 |
Dr Madelaine Wade, MD 1500 South Main Street, Jps Family Medicine Department, Fort Worth, TX 76104-3785 Ph: (682) 207-4495 | Dr Madelaine Wade, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1244 |
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