Dr Wade Gilman, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. His current practice location is
2040 N Shadeland Ave Ste 220, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 355-1435.
Dr Wade Gilman is licensed to practice in Indiana (license number 01091492A) 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 1053970442.
Physician's Profile
Full Name | Dr Wade Gilman |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2040 N Shadeland Ave Ste 220, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053970442
- Provider Enumeration Date: 06/10/2019
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426387184
- Enrollment ID: I20240222001750
Medical Identifiers
Medical identifiers for Dr Wade Gilman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053970442 | NPI | - | NPPES |
300080312 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 125075903 (Illinois) | Secondary |
208600000X | Surgery | LL82357 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 01091492A (Indiana) | 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 Wade Gilman allows following entities to bill medicare on his behalf.
Entity Name | Community Physicians Of Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
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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 Wade Gilman 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 Wade Gilman, MD 2040 N Shadeland Ave Ste 220, Indianapolis, IN 46219-2890 Ph: (317) 355-1435 | Dr Wade Gilman, MD 2040 N Shadeland Ave Ste 220, Indianapolis, IN 46219-2890 Ph: (317) 355-1435 |
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