Mrs Jane Show Wada, MD is a medicare enrolled "Dermatology" physician in Montrose, California. She graduated from medical school in 1974 and has 50 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Su And Chang Dermatology Associates Apmc and her current practice location is
2103 Montrose Ave, Suite D, Montrose, California. You can reach out to her office (for appointments etc.) via phone at
(818) 957-2066.
Mrs Jane Show Wada is licensed to practice in California (license number G30116) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609862242.
Physician's Profile
| Full Name | Mrs Jane Show Wada |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 50 Years |
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| Location | 2103 Montrose Ave, Montrose, California |
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| Accepts Medicare Assignments | Yes. She 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:
- Mrs Jane Show Wada graduated from medical school in 1974
NPI Data:
- NPI Number: 1609862242
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6709930480
- Enrollment ID: I20090814000106
Medical Identifiers
Medical identifiers for Mrs Jane Show Wada such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609862242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | G30116 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Su And Chang Dermatology Associates Apmc | 2062641103 | 3 |
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. Mrs Jane Show Wada allows following entities to bill medicare on her behalf.
| Entity Name | Su And Chang Dermatology Associates Apmc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932547882
PECOS PAC ID: 2062641103
Enrollment ID: O20140212000893 |
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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. Mrs Jane Show Wada 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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Mrs Jane Show Wada, MD
2103 Montrose Ave, Suite D,
Montrose, CA 91020-1546
Ph: (818) 957-2066 | Mrs Jane Show Wada, MD
2103 Montrose Ave, Suite D,
Montrose, CA 91020-1546
Ph: (818) 957-2066 |
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