Mrs Michelle Pinto Wade, PA-C is a
Physician Assistant physician based in Jacksonville, Florida. Mrs Michelle Pinto Wade is licensed to practice in Florida (license number PA113264) and her current practice location is 10325 San Jose Blvd, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 717-1034.
NPI number for Mrs Michelle Pinto Wade is 1518969377 and her current mailing address is 168 Shadow Ridge Trl, Ponte Vedra, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518969377.
Physician's Profile
| Full Name | Mrs Michelle Pinto Wade |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 10325 San Jose Blvd, Jacksonville, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518969377
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Mrs Michelle Pinto Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518969377 | NPI | - | NPPES |
| 113755000 | Medicaid | FL | |
| MA051342 | Other | PA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | PA9113264 (Florida) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | MA051342 (Pennsylvania) | Secondary |
| 363A00000X | Physician Assistant | PA113264 (Florida) | 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. Mrs Michelle Pinto 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 |
|---|
Mrs Michelle Pinto Wade, PA-C
168 Shadow Ridge Trl,
Ponte Vedra, FL 32081-0068
Ph: (215) 219-8182 | Mrs Michelle Pinto Wade, PA-C
10325 San Jose Blvd,
Jacksonville, FL 32257-6204
Ph: (904) 717-1034 |
Reviews and Comments