Wild Wellness Inc. is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in West Stockbridge, Massachusetts. The current practice location for Wild Wellness Inc. is West Stockbridge Town Offices, 21 State Line Road, West Stockbridge, Massachusetts. For appointments, you can reach them via phone at (413) 591-9355. The mailing address for Wild Wellness Inc. is Po Box 107, West Stockbridge, Massachusetts and phone number is (413) 591-9355.
Wild Wellness Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215799093. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (413) 591-9355.
Contact Information
Wild Wellness Inc.
West Stockbridge Town Offices 21 State Line Road West Stockbridge MA 01266-0107
West Stockbridge Town Offices, West Stockbridge, Massachusetts
Authorized Official Name and Position
Eric Krawczyk (OWNER)
Authorized Official Contact
4135919355
Accepts Medicare Insurance
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Wild Wellness Inc. Po Box 107 West Stockbridge MA 01266-0107 Ph: (413) 591-9355
Wild Wellness Inc. West Stockbridge Town Offices 21 State Line Road West Stockbridge MA 01266-0107 Ph: (413) 591-9355
NPI Details:
NPI Number
1215799093
Provider Enumeration Date
01/26/2024
Last Update Date
01/26/2024
Certification Date
01/23/2024
Medicare PECOS Information:
Medicare PECOS PAC ID
1759724313
Medicare Enrollment ID
O20240617001212
Medical Identifiers
Medical identifiers for Wild Wellness Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1215799093
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
261QM0801X
Clinic/center - Mental Health (including Community Mental Health Center)
(* (Not Available))
Primary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wild Wellness Inc. acts as a billing entity for following providers: