Dr Trevor Glade Wilde, DO is a medicare enrolled "Family Medicine" physician in Saint Anthony, Idaho. His current practice location is
335 E Main St Ste 1, Saint Anthony, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 356-4900.
Dr Trevor Glade Wilde is licensed to practice in Idaho (license number O-0776) 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 1538422019.
Physician's Profile
| Full Name | Dr Trevor Glade Wilde |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 335 E Main St Ste 1, Saint Anthony, Idaho |
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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. |
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Medical Education and Training:
- Dr Trevor Glade Wilde attended and graduated from in
NPI Data:
- NPI Number: 1538422019
- Provider Enumeration Date: 06/20/2012
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Trevor Glade Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538422019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | O-0776 (Idaho) | 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 Trevor Glade Wilde 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 Trevor Glade Wilde, DO
Po Box 18,
Saint Anthony, ID 83445-0018
Ph: (208) 356-4900 | Dr Trevor Glade Wilde, DO
335 E Main St Ste 1,
Saint Anthony, ID 83445-1546
Ph: (208) 356-4900 |
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