Amber Locklear Wilder, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in New Haven, Connecticut. Her current practice location is
1450 Chapel St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 789-3000.
Amber Locklear Wilder is licensed to practice in Connecticut (license number 6483) 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 1720858269.
Physician's Profile
| Full Name | Amber Locklear Wilder |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 1450 Chapel St, New Haven, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720858269
- Provider Enumeration Date: 01/05/2024
- Last Update Date: 03/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880033836
- Enrollment ID: I20240423003997
Medical Identifiers
Medical identifiers for Amber Locklear Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720858269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 6483 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 6483 (Connecticut) | 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. Amber Locklear 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 |
|---|
Amber Locklear Wilder, PA-C
43 Chestnut St Unit 109,
New Haven, CT 06511-5731
Ph: (843) 276-2670 | Amber Locklear Wilder, PA-C
1450 Chapel St,
New Haven, CT 06511-4405
Ph: (203) 789-3000 |
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