Dr Wade Wallace Wilde, MD in Mansfield, OH

Dr Wade Wallace Wilde, MD is a medicare enrolled "Pediatrics" physician in Mansfield, Ohio. His current practice location is 1029 S Trimble Rd, Mansfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 521-2950.

Dr Wade Wallace Wilde is licensed to practice in Ohio (license number 35.074229) 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 1225017817.

Contact Information

	Dr Wade Wallace Wilde, MD
	1029 S Trimble Rd, Mansfield, OH 44906-3427
	(419) 521-2950
	(419) 522-0837

Map and Direction

Physician's Profile

Full Name	Dr Wade Wallace Wilde
Gender	Male
Speciality	Pediatrics
Location	1029 S Trimble Rd, Mansfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225017817
Provider Enumeration Date: 01/11/2006
Last Update Date: 11/23/2020

Medicare PECOS Information:

PECOS PAC ID: 4486913126
Enrollment ID: I20190107002615

Medical Identifiers

Medical identifiers for Dr Wade Wallace Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225017817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	18724 (Nebraska)	Secondary
208000000X	Pediatrics	35.074229 (Ohio)	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 Wallace Wilde allows following entities to bill medicare on his behalf.

Entity Name	Children's Hospital Medical Center Of Akron
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841328853 PECOS PAC ID: 0648183012 Enrollment ID: O20031111000484

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 Wallace 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 Wade Wallace Wilde, MD 1029 S Trimble Rd, Mansfield, OH 44906-3427 Ph: (419) 521-2950	Dr Wade Wallace Wilde, MD 1029 S Trimble Rd, Mansfield, OH 44906-3427 Ph: (419) 521-2950

Reviews and Comments

Pediatrics Doctors in Mansfield, OH

Achilles E Litao, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1029 S Trimble Rd, Mansfield, OH 44906 Phone: 419-522-3341 Fax: 419-522-1110
Dr. Robert David Burns, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 S Trimble Rd, Mansfield, OH 44906 Phone: 419-522-3341 Fax: 419-522-1110
Colleen J Mckinney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 540 S Trimble Rd, Mansfield, OH 44906 Phone: 419-522-5454 Fax: 419-522-2981
Dr. Celia Jane Flinn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 S Trimble Rd, Mansfield, OH 44906 Phone: 419-522-3341 Fax: 419-522-1110
Chandra R. Shaker, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 Sturges Ave Ste 1, Mansfield, OH 44903 Phone: 419-522-5454 Fax: 419-522-2981
Dr. Jennifer Lynn Andrews, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 S Trimble Rd, Mansfield, OH 44906 Phone: 419-522-3341 Fax: 419-522-1110

Dr Wade Wallace Wilde, MD - Medicare Pediatrics in Mansfield, OH