Dr Adrian Kenneth Wyllie, MD is a medicare enrolled "General Practice" physician in Wallingford, Connecticut. His current practice location is
4 Research Pkwy, Wallingford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 598-6045.
Dr Adrian Kenneth Wyllie is licensed to practice in Connecticut (license number 56766) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407234685.
Physician's Profile
Full Name | Dr Adrian Kenneth Wyllie |
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Gender | Male |
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Speciality | General Practice |
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Location | 4 Research Pkwy, Wallingford, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407234685
- Provider Enumeration Date: 05/08/2015
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719291525
- Enrollment ID: I20170810001282
Medical Identifiers
Medical identifiers for Dr Adrian Kenneth Wyllie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407234685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 56766 (Connecticut) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Adrian Kenneth Wyllie allows following entities to bill medicare on his behalf.
Entity Name | Wound Surgeons Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982916151 PECOS PAC ID: 5890829451 Enrollment ID: O20100818000178 |
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Entity Name | Complete Wound Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033801568 PECOS PAC ID: 8729445580 Enrollment ID: O20230609000583 |
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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 Adrian Kenneth Wyllie 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 |
Dr Adrian Kenneth Wyllie, MD 4 Research Pkwy, Wallingford, CT 06492-1929 Ph: (203) 598-6045 | Dr Adrian Kenneth Wyllie, MD 4 Research Pkwy, Wallingford, CT 06492-1929 Ph: (203) 598-6045 |
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