Katelyn Cramer Wade, PA, RD is a medicare enrolled "Physician Assistant" provider in Boise, Idaho. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Idaho Skin Surgery Center Pc and her current practice location is
1906 S Vista Ave, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 433-1114.
Katelyn Cramer Wade is licensed to practice in Idaho (license number PA-2113) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780178814.
Healthcare Provider's Profile
| Full Name | Katelyn Cramer Wade |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 1906 S Vista Ave, Boise, Idaho |
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| Accepts Medicare Assignments | Yes. She 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:
- Katelyn Cramer Wade graduated from medical school in 2021
NPI Data:
- NPI Number: 1780178814
- Provider Enumeration Date: 06/21/2018
- Last Update Date: 03/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406241827
- Enrollment ID: I20220322002759
Medical Identifiers
Medical identifiers for Katelyn Cramer Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780178814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | D-935 (Idaho) | Secondary |
| 363A00000X | Physician Assistant | PA-2113 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Idaho Skin Surgery Center Pc | 9537234299 | 3 |
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. Katelyn Cramer 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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Katelyn Cramer Wade, PA, RD
1906 S Vista Ave,
Boise, ID 83705-3453
Ph: () - | Katelyn Cramer Wade, PA, RD
1906 S Vista Ave,
Boise, ID 83705-3453
Ph: (208) 433-1114 |
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