Dr Wilder Rucker, MD - Medicare General Practice in Miramar, FL

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Dr Wilder Rucker, MD is a medicare enrolled "General Practice" physician in Miramar, Florida. His current practice location is 3601 Sw 160th Ave Ste 250, Miramar, Florida. You can reach out to his office (for appointments etc.) via phone at (877) 866-7123.

Dr Wilder Rucker is licensed to practice in New York (license number 000-26-4414) 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 1235403742.

Contact Information

Dr Wilder Rucker, MD
3601 Sw 160th Ave Ste 250,
Miramar, FL 33027-6314
(877) 866-7123
Not Available

Map and Direction




Physician's Profile

Full NameDr Wilder Rucker
GenderMale
SpecialityGeneral Practice
Location3601 Sw 160th Ave Ste 250, Miramar, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235403742
  • Provider Enumeration Date: 03/01/2012
  • Last Update Date: 06/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9638314289
  • Enrollment ID: I20130402000146

Medical Identifiers

Medical identifiers for Dr Wilder Rucker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235403742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 264414 (New York)Secondary
208600000XSurgery 264414 (New York)Secondary
208D00000XGeneral Practice 000-26-4414 (New York)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 Wilder Rucker allows following entities to bill medicare on his behalf.
Entity NameActive Life Health Of Ny Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275814105
PECOS PAC ID: 7810161338
Enrollment ID: O20111119000007
Entity NameEmpire Wound Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130742
PECOS PAC ID: 6406170497
Enrollment ID: O20150122001257
Entity NamePons Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457732554
PECOS PAC ID: 9931416187
Enrollment ID: O20150921001165
Entity NameRenew Medical Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356979447
PECOS PAC ID: 7416387014
Enrollment ID: O20200422003016

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 Wilder Rucker 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 AddressPractice Location Address
Dr Wilder Rucker, MD
1276 Dekalb Ave # 4a,
Brooklyn, NY 11221-3204

Ph: (718) 490-0738		Dr Wilder Rucker, MD
3601 Sw 160th Ave Ste 250,
Miramar, FL 33027-6314

Ph: (877) 866-7123

Reviews and Comments


General Practice Doctors in Miramar, FL

Heather Stewart, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 3601 Sw 160th Ave Ste 250, Miramar, FL 33027
Phone: 954-399-4673    
Aimee Gonzalez, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027
Phone: 877-866-7123    Fax: 855-855-2792
Dr. Eduardo Fausto Bolumen, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 12650 Sw 33rd St, Miramar, FL 33027
Phone: 954-437-3423    
Faisal Amin, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027
Phone: 877-866-7123    
Csaba Mihaly, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027
Phone: 877-866-7123    
Sergio Balcazar, MD
General Practice
Medicare: Medicare Enrolled
Practice Location: 5062 Sw 139 Terr, Miramar, FL 33027
Phone: 954-494-0391    
Gary Dean Myers,
General Practice
Medicare: Medicare Enrolled
Practice Location: 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027
Phone: 877-866-7123    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.