Dr Susanne Gertraud Wild, MD in Phoenix, AZ

Dr Susanne Gertraud Wild, MD is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. She went to University Of Arizona College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Banner - University Primary Care Physicians Llc and her current practice location is 1300 N 12th St, #605, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 839-4567.

Dr Susanne Gertraud Wild is licensed to practice in Arizona (license number 35547) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972627867.

Contact Information

	Dr Susanne Gertraud Wild, MD
	1300 N 12th St, #605, Phoenix, AZ 85006-2848
	(602) 839-4567
	(602) 839-2232

Map and Direction

Physician's Profile

Full Name	Dr Susanne Gertraud Wild
Gender	Female
Speciality	Family Practice
Experience	20 Years
Location	1300 N 12th St, Phoenix, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Susanne Gertraud Wild attended and graduated from University Of Arizona College Of Medicine in 2004

NPI Data:

NPI Number: 1972627867
Provider Enumeration Date: 03/18/2007
Last Update Date: 12/26/2012

Medicare PECOS Information:

PECOS PAC ID: 8224137237
Enrollment ID: I20070615000269

Medical Identifiers

Medical identifiers for Dr Susanne Gertraud Wild such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972627867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35547 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner - University Medical Center Phoenix	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner - University Primary Care Physicians Llc	2365746450	36

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 Susanne Gertraud Wild allows following entities to bill medicare on her behalf.

Entity Name	Banner - University Primary Care Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154791960 PECOS PAC ID: 2365746450 Enrollment ID: O20160210001728

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 Susanne Gertraud Wild 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 Susanne Gertraud Wild, MD 1300 N 12th St, #605, Phoenix, AZ 85006-2848 Ph: (602) 839-4567	Dr Susanne Gertraud Wild, MD 1300 N 12th St, #605, Phoenix, AZ 85006-2848 Ph: (602) 839-4567

Reviews and Comments

Family Medicine Doctors in Phoenix, AZ

Dr. Serena Dawn Woods-grimm, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Central Ave, Phoenix, AZ 85004 Phone: 602-221-6326
Michael Devin Taylor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree - Family Medicine #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-4122
Dr. Umar Iqbal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree Building - Window #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-7176
Jessica Ann Wright, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000
Meggan E Bauer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 E Camelback Rd Ste K100, Phoenix, AZ 85018 Phone: 602-224-9218
Dr. James W. Fisher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12450 N 32nd St Ste 3, Phoenix, AZ 85032 Phone: 602-996-0924 Fax: 602-482-2624
Geoffrey Peter Radoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 West Greenway, Suite 210, Phoenix, AZ 85023 Phone: 602-993-0200 Fax: 602-993-0207

Dr Susanne Gertraud Wild, MD - Medicare Family Practice in Phoenix, AZ