Larry Wayne Wade, MD is a medicare enrolled "Internal Medicine" physician in Fultondale, Alabama. His current practice location is
2619 Decatur Hwy, Fultondale, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 841-9898.
Larry Wayne Wade is licensed to practice in Alabama (license number 00017461) 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 1922094085.
Physician's Profile
Full Name | Larry Wayne Wade |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 2619 Decatur Hwy, Fultondale, Alabama |
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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: 1922094085
- Provider Enumeration Date: 09/23/2005
- Last Update Date: 06/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 5294750170
- Enrollment ID: I20051010000834
Medical Identifiers
Medical identifiers for Larry Wayne Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922094085 | NPI | - | NPPES |
051503805 | Medicaid | AL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 00017461 (Alabama) | 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. Larry Wayne Wade allows following entities to bill medicare on his behalf.
Entity Name | Paragon Contracting Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
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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. Larry Wayne 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 |
Larry Wayne Wade, MD 2619 Decatur Hwy, Fultondale, AL 35068-1723 Ph: (205) 841-9898 | Larry Wayne Wade, MD 2619 Decatur Hwy, Fultondale, AL 35068-1723 Ph: (205) 841-9898 |
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