Travis Jordan Wilder, MD in Cleveland, OH - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Travis Jordan Wilder, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Cleveland, Ohio. His current practice location is 11100 Euclid Ave # Ms 6011, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 844-5795.

Travis Jordan Wilder is licensed to practice in Ohio (license number 35.142443) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386958726.

Contact Information

	Travis Jordan Wilder, MD
	11100 Euclid Ave # Ms 6011, Cleveland, OH 44106-1716
	(216) 844-5795
	Not Available

Map and Direction

Physician's Profile

Full Name	Travis Jordan Wilder
Gender	Male
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	11100 Euclid Ave # Ms 6011, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386958726
Provider Enumeration Date: 07/27/2010
Last Update Date: 01/04/2022

Medicare PECOS Information:

PECOS PAC ID: 0446529077
Enrollment ID: I20210810001683

Medical Identifiers

Medical identifiers for Travis Jordan Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386958726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	S2539 (Texas)	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	102742483-1205 (Utah)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	35.142443 (Ohio)	Primary

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. Travis Jordan Wilder allows following entities to bill medicare on his behalf.

Entity Name	University Hospitals Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301

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. Travis Jordan Wilder 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
Travis Jordan Wilder, MD 11100 Euclid Ave # Ms 6011, Cleveland, OH 44106-1716 Ph: (832) 824-4951	Travis Jordan Wilder, MD 11100 Euclid Ave # Ms 6011, Cleveland, OH 44106-1716 Ph: (216) 844-5795

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Cleveland, OH

Mark J Botham, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Dr. Usman Ahmad, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, J4-1, Cleveland, OH 44195 Phone: 216-444-5640 Fax: 216-636-6981
George C Economopoulos, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Dr. Jota Nakano, M.D., PH.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-2200
Thomas G. Santoscoy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Mohamed Mostafa Ahmed Mohame Omara, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # J4-133, Cleveland, OH 44195 Phone: 216-445-6816
Thomas W Rice, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273

Travis Jordan Wilder, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Cleveland, OH