Dr Shane L Wilder, MD - Medicare Internal Medicine in West Hollywood, CA

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Dr Shane L Wilder, MD is a medicare enrolled "Internal Medicine" physician in West Hollywood, California. His current practice location is 8700 Beverly Blvd Ste 5512, West Hollywood, California. You can reach out to his office (for appointments etc.) via phone at (310) 423-2811.

Dr Shane L Wilder is licensed to practice in New Mexico (license number MD2022-0910) 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 1922667443.

Contact Information

Dr Shane L Wilder, MD
8700 Beverly Blvd Ste 5512,
West Hollywood, CA 90048-1804
(310) 423-2811
Not Available

Map and Direction




Physician's Profile

Full NameDr Shane L Wilder
GenderMale
SpecialityInternal Medicine
Location8700 Beverly Blvd Ste 5512, West Hollywood, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922667443
  • Provider Enumeration Date: 06/08/2019
  • Last Update Date: 10/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628448909
  • Enrollment ID: I20230102000066

Medical Identifiers

Medical identifiers for Dr Shane L Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922667443NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD2022-0910 (New Mexico)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 Shane L Wilder allows following entities to bill medicare on his behalf.
Entity NameUnm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831218627
PECOS PAC ID: 4981795267
Enrollment ID: O20070801000589

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 Shane L Wilder 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 AddressPractice Location Address
Dr Shane L Wilder, MD
800 Bradbury Dr Se Ste 116,
Albuquerque, NM 87106-4310

Ph: (505) 272-1476		Dr Shane L Wilder, MD
8700 Beverly Blvd Ste 5512,
West Hollywood, CA 90048-1804

Ph: (310) 423-2811

Reviews and Comments


Internal Medicine Doctors in West Hollywood, CA

Dr. Maria L Delioukina, MD
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Phone: 310-423-1160    Fax: 310-423-4646
Carolyn Frances Krieg, D.O.
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Phone: 925-818-9432    
Dr. Jana Posalski, M.D.
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Practice Location: 8700 Beverly Blvd, Room B-139, West Hollywood, CA 90048
Phone: 310-423-0599    Fax: 310-423-6898
Veshal Malhotra, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 8700 Beverly Blvd # 220, West Hollywood, CA 90048
Phone: 310-423-5252    
Dr. Andrew Zadeh, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 310-423-5581    
Dr. Andrew D Ho, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048
Phone: 310-423-5161    
Mitali Mehta, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8700 Beverly Blvd Ste B220, West Hollywood, CA 90048
Phone: 310-423-5252    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.