Dr David Wade Redick, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Miami, Florida. His current practice location is
1611 Nw 12th Ave, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 326-6391.
Dr David Wade Redick is licensed to practice in * (Not Available) (license number ) 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 1770078859.
Physician's Profile
Full Name | Dr David Wade Redick |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1611 Nw 12th Ave, Miami, Florida |
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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: 1770078859
- Provider Enumeration Date: 06/29/2018
- Last Update Date: 06/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 1951648393
- Enrollment ID: I20220825001350
Medical Identifiers
Medical identifiers for Dr David Wade Redick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770078859 | NPI | - | NPPES |
LL52722 | Other | SC | OPHTHALMOLOGY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | LL52722 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 David Wade Redick allows following entities to bill medicare on his behalf.
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
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Entity Name | Emory Medical Care Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
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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 David Wade Redick 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 David Wade Redick, MD 900 Nw 17th St, Miami, FL 33136-1134 Ph: (305) 326-6391 | Dr David Wade Redick, MD 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 326-6391 |
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