Barton William Wild, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Portage, Michigan. His current practice location is
3770 Glenkerry Ct, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 329-2887.
Barton William Wild is licensed to practice in Michigan (license number 4301086518) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710197579.
Physician's Profile
Full Name | Barton William Wild |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 3770 Glenkerry Ct, Portage, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Barton William Wild attended and graduated from in
NPI Data:
- NPI Number: 1710197579
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 05/06/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Barton William Wild such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710197579 | NPI | - | NPPES |
1710197579 | Medicaid | MI | |
M91620016 | Other | MI | UHC COMMUNITY PLAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | 4301086518 (Michigan) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 4301086518 (Michigan) | 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. Barton William Wild 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 |
Barton William Wild, MD 5555 Glenwood Hills Pkwy Se Ste 2, Grand Rapids, MI 49512-2091 Ph: (616) 940-2662 | Barton William Wild, MD 3770 Glenkerry Ct, Portage, MI 49024-0700 Ph: (269) 329-2887 |
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