Dr Michael James Wade, DO is a
Family Medicine physician based in Coachella, California. Dr Michael James Wade is licensed to practice in California (license number 20A59820) and his current practice location is 791 Orchard St, Coachella, California. He can be reached at his office (for appointments etc.) via phone at
(760) 398-0128.
NPI number for Dr Michael James Wade is 1194723668 and his current mailing address is Po Box 10603, Palm Desert, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194723668.
Physician's Profile
| Full Name | Dr Michael James Wade |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 791 Orchard St, Coachella, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194723668
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 04/30/2020
Medical Identifiers
Medical identifiers for Dr Michael James Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194723668 | NPI | - | NPPES |
| 00AX59820 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 20A5982 (California) | Secondary |
| 207Q00000X | Family Medicine | 20A59820 (California) | 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. Dr Michael James 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 |
|---|
Dr Michael James Wade, DO
Po Box 10603,
Palm Desert, CA 92255-0603
Ph: (714) 404-7041 | Dr Michael James Wade, DO
791 Orchard St,
Coachella, CA 92236-1730
Ph: (760) 398-0128 |
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