Gary L Wade, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jamestown, North Dakota. He went to Loma Linda University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Golden State Imaging Associates Inc, Renaissance Imaging Medical Associates Inc and his current practice location is
2422 20th St Sw, Jamestown, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 952-4854.
Gary L Wade is licensed to practice in Washington (license number MD00022330) 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 1306832571.
Physician's Profile
| Full Name | Gary L Wade |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 45 Years |
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| Location | 2422 20th St Sw, Jamestown, North Dakota |
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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:
- Gary L Wade attended and graduated from Loma Linda University School Of Medicine in 1979
NPI Data:
- NPI Number: 1306832571
- Provider Enumeration Date: 09/23/2005
- Last Update Date: 08/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 7012918352
- Enrollment ID: I20101122000086
Medical Identifiers
Medical identifiers for Gary L Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306832571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | MD00022330 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Golden State Imaging Associates Inc | 1254761315 | 223 |
| Renaissance Imaging Medical Associates Inc | 7315841756 | 118 |
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. Gary L Wade allows following entities to bill medicare on his behalf.
| Entity Name | Renaissance Imaging Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487608931
PECOS PAC ID: 7315841756
Enrollment ID: O20170221002249 |
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| Entity Name | Golden State Imaging Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144872052
PECOS PAC ID: 1254761315
Enrollment ID: O20200917000404 |
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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. Gary L Wade 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 |
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Gary L Wade, MD
484 Snider Dr,
Walla Walla, WA 99362-8075
Ph: (530) 340-1428 | Gary L Wade, MD
2422 20th St Sw,
Jamestown, ND 58401-6201
Ph: (701) 952-4854 |
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