Dr William Anthony Wild, DO in Berlin, MD - Medicare Emergency Medicine

Dr William Anthony Wild, DO is a medicare enrolled "Emergency Medicine" physician in Berlin, Maryland. His current practice location is 11318 Gum Point Rd, Berlin, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 397-4167.

Dr William Anthony Wild is licensed to practice in Maryland (license number H0066476) 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 1700820396.

Contact Information

	Dr William Anthony Wild, DO
	11318 Gum Point Rd, Berlin, MD 21811-3172
	(443) 397-4167
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr William Anthony Wild
Gender	Male
Speciality	Emergency Medicine
Location	11318 Gum Point Rd, Berlin, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700820396
Provider Enumeration Date: 06/15/2006
Last Update Date: 12/16/2020

Medicare PECOS Information:

PECOS PAC ID: 1153305743
Enrollment ID: I20080305000247

Medical Identifiers

Medical identifiers for Dr William Anthony Wild such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700820396	NPI	-	NPPES
101038293002	Medicaid	PA
1010389293-02	Other	PA	AMERICHOICE BUCKS
101038293003	Medicaid	PA
07645	Other	PA	HEALTH PARTNERS
30017165	Other	PA	KEYSTONE MERCY
101038293001	Medicaid	PA
1010389293-01	Other	PA	AMERICHOICE FRANKFORD
1356562	Other	PA	CIGNA
1361074	Other	PA	HIGHMARK BLUE SHIELD
20045168	Other	PA	AMERIHEALTH MERCY
1010389293-03	Other	PA	AMERICHOICE TORRESDALE
2053335000	Other	PA	KEYSTONE IBC
452729	Other	PA	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OS010886L (Pennsylvania)	Secondary
207P00000X	Emergency Medicine	C2-0013043 (Delaware)	Secondary
207P00000X	Emergency Medicine	H0066476 (Maryland)	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 William Anthony Wild allows following entities to bill medicare on his behalf.

Entity Name	Emergency Service Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558340562 PECOS PAC ID: 8224024716 Enrollment ID: O20040421000848

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 William Anthony Wild 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 William Anthony Wild, DO 11318 Gum Point Rd, Berlin, MD 21811-3172 Ph: (443) 397-4167	Dr William Anthony Wild, DO 11318 Gum Point Rd, Berlin, MD 21811-3172 Ph: (443) 397-4167

Reviews and Comments

Emergency Medicine Doctors in Berlin, MD

Razaak Alabi Eniola, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9733 Healthway Dr, Berlin, MD 21811 Phone: 410-641-9109
Valerie Botscheller, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11103 Cathage Rd Ste 101, Berlin, MD 21811 Phone: 410-912-6021

Dr William Anthony Wild, DO - Medicare Emergency Medicine in Berlin, MD