Mikala Wade, is a
Preventive Medicine - Sports Medicine physician based in Beech Grove, Indiana. Mikala Wade is licensed to practice in Indiana (license number 1230965914) and her current practice location is 212 S 12th Ave, Beech Grove, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 724-3228.
NPI number for Mikala Wade is 1518647312 and her current mailing address is 212 S 12th Ave, Beech Grove, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518647312.
Physician's Profile
Full Name | Mikala Wade |
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Gender | Female |
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Speciality | Preventive Medicine - Sports Medicine |
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Location | 212 S 12th Ave, Beech Grove, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518647312
- Provider Enumeration Date: 07/18/2023
- Last Update Date: 07/18/2023
Medical Identifiers
Medical identifiers for Mikala Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518647312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083S0010X | Preventive Medicine - Sports Medicine | 1230965914 (Indiana) | Primary |
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. Mikala Wade is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mikala Wade, 212 S 12th Ave, Beech Grove, IN 46107-1717 Ph: (317) 724-3228 | Mikala Wade, 212 S 12th Ave, Beech Grove, IN 46107-1717 Ph: (317) 724-3228 |
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