Dr Madeline Frucht Wilks, MD is a medicare enrolled "Family Medicine" physician in Washinton, District Of Columbia. Her current practice location is
2831 15th St. Nw, La Clinica Del Pueblo, Washinton, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at
(202) 462-4788.
Dr Madeline Frucht Wilks is licensed to practice in District Of Columbia (license number MD32450) 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 1205819943.
Physician's Profile
| Full Name | Dr Madeline Frucht Wilks |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 2831 15th St. Nw, Washinton, District Of Columbia |
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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: 1205819943
- Provider Enumeration Date: 11/28/2005
- Last Update Date: 08/03/2007
Medicare PECOS Information:
- PECOS PAC ID: 1052380706
- Enrollment ID: I20040929000423
Medical Identifiers
Medical identifiers for Dr Madeline Frucht Wilks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205819943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | MD32450 (District Of Columbia) | 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 Madeline Frucht Wilks allows following entities to bill medicare on her behalf.
| Entity Name | La Clinica Del Pueblo Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124227590
PECOS PAC ID: 3971490558
Enrollment ID: O20040228000337 |
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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 Madeline Frucht Wilks 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 |
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Dr Madeline Frucht Wilks, MD
La Clinica Del Pueblo, 2831 15th St. Nw,
Washinton, DC 20009
Ph: (202) 462-4788 | Dr Madeline Frucht Wilks, MD
2831 15th St. Nw, La Clinica Del Pueblo,
Washinton, DC 20009
Ph: (202) 462-4788 |
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