Dr Thomas Oliver Wildes, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Chippewa Falls, Wisconsin. He went to Tulane University School Of Medicine and graduated in 1971 and has 53 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Banner - University Physician Specialists Llc and his current practice location is
962 Parkland Dr, Chippewa Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 345-3677.
Dr Thomas Oliver Wildes is licensed to practice in Wisconsin (license number 26197-020) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154393791.
Physician's Profile
Full Name | Dr Thomas Oliver Wildes |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 53 Years |
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Location | 962 Parkland Dr, Chippewa Falls, Wisconsin |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Thomas Oliver Wildes attended and graduated from Tulane University School Of Medicine in 1971
NPI Data:
- NPI Number: 1154393791
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 12/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 4486606738
- Enrollment ID: I20130211000481
Medical Identifiers
Medical identifiers for Dr Thomas Oliver Wildes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154393791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 26197-020 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Banner - University Physician Specialists Llc | 5991008054 | 241 |
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 Thomas Oliver Wildes allows following entities to bill medicare on his behalf.
Entity Name | Banner Physician Specialists Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
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Entity Name | Banner - University Physician Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
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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 Thomas Oliver Wildes 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 Thomas Oliver Wildes, MD 962 Parkland Dr, Chippewa Falls, WI 54729-5084 Ph: (608) 345-3677 | Dr Thomas Oliver Wildes, MD 962 Parkland Dr, Chippewa Falls, WI 54729-5084 Ph: (608) 345-3677 |
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