Mr Wade Garret Fueconcillo, is a medicare enrolled "Physician Assistant" physician in Colton, California. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
400 N Pepper Ave, Colton, California. You can reach out to his office (for appointments etc.) via phone at
(909) 580-1775.
Mr Wade Garret Fueconcillo is licensed to practice in * (Not Available) (license number ) 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 1912496423.
Physician's Profile
| Full Name | Mr Wade Garret Fueconcillo |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 6 Years |
|---|
| Location | 400 N Pepper Ave, Colton, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mr Wade Garret Fueconcillo graduated from medical school in 2018
NPI Data:
- NPI Number: 1912496423
- Provider Enumeration Date: 05/10/2018
- Last Update Date: 12/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951649862
- Enrollment ID: I20190218002747
Medical Identifiers
Medical identifiers for Mr Wade Garret Fueconcillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912496423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | PA55900 (California) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Mr Wade Garret Fueconcillo 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 |
|---|
Mr Wade Garret Fueconcillo,
341 Magnolia Ave Ste 101,
Corona, CA 92879-3331
Ph: (951) 256-8150 | Mr Wade Garret Fueconcillo,
400 N Pepper Ave,
Colton, CA 92324-1801
Ph: (909) 580-1775 |
Reviews and Comments