Michael Wild, MD - Medicare Family Practice in Stansbury Park, UT

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Michael Wild, MD is a medicare enrolled "Family Medicine" physician in Stansbury Park, Utah. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice University Of Utah Community Physicians Group and his current practice location is 220 Millpond Ste 100, Stansbury Park, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 843-3000.

Michael Wild is licensed to practice in Utah (license number 7546357-1205) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1225689748.

Contact Information

Michael Wild, MD
220 Millpond Ste 100,
Stansbury Park, UT 84074-9760
(435) 843-3000
(435) 843-3015

Map and Direction




Physician's Profile

Full NameMichael Wild
GenderMale
SpecialityFamily Practice
Experience6 Years
Location220 Millpond Ste 100, Stansbury Park, Utah
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Wild graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1225689748
  • Provider Enumeration Date: 09/25/2019
  • Last Update Date: 11/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385067925
  • Enrollment ID: I20230210000857

Medical Identifiers

Medical identifiers for Michael Wild such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225689748NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine RL16538 (North Dakota)Secondary
208D00000XGeneral Practice 7546357-1205 (Utah)Secondary
207Q00000XFamily Medicine 7546357-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Canyon Home CareSalt lake city, UTHome health agency
University Of Utah Hospitals And ClinicsSalt lake city, UTHospital
Mountain West Medical CenterTooele, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Utah Community Physicians Group9739403569255

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. Michael Wild allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Utah Community Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598169203
PECOS PAC ID: 9739403569
Enrollment ID: O20150126002118
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210225002062

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. Michael 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 AddressPractice Location Address
Michael Wild, MD
220 Millpond Ste 100,
Stansbury Park, UT 84074-9760

Ph: (435) 843-3000		Michael Wild, MD
220 Millpond Ste 100,
Stansbury Park, UT 84074-9760

Ph: (435) 843-3000

Reviews and Comments


Family Medicine Doctors in Stansbury Park, UT

Dr. David P Bowman, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 576 E Highway 138, Suite 350, Stansbury Park, UT 84074
Phone: 435-843-1342    Fax: 435-775-9272
Hilary S. Seibert, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 220 Millpond, 100, Stansbury Park, UT 84074
Phone: 801-213-9400    

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.