Charles E Wade, NP is a
Nurse Practitioner physician based in Lebanon, Indiana. Charles E Wade is licensed to practice in Indiana (license number 71007932A) and his current practice location is 2605 N Lebanon St, Lebanon, Indiana. He can be reached at his office (for appointments etc.) via phone at
(765) 485-8000.
NPI number for Charles E Wade is 1598253577 and his current mailing address is 2705 N Lebanon St Ste 305, Lebanon, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598253577.
Physician's Profile
Full Name | Charles E Wade |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Location | 2605 N Lebanon St, Lebanon, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598253577
- Provider Enumeration Date: 04/25/2018
- Last Update Date: 06/09/2020
Medical Identifiers
Medical identifiers for Charles E Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598253577 | NPI | - | NPPES |
3000013406 | Medicaid | IN | |
00001344950 | Other | IN | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 71007932A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71007932A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71007932A (Indiana) | 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. Charles E 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 |
Charles E Wade, NP 2705 N Lebanon St Ste 305, Lebanon, IN 46052-8622 Ph: (765) 485-8852 | Charles E Wade, NP 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: (765) 485-8000 |
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