Dafna Rachel Wild, PA in Jersey City, NJ - Medicare Physician Assistant

Dafna Rachel Wild, PA is a medicare enrolled "Physician Assistant" in Jersey City, New Jersey. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Clark Dermatology Llc and her current practice location is 100 Pavonia Ave, Suite 409, Jersey City, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 626-4040.

Dafna Rachel Wild is licensed to practice in New Jersey (license number 25MP00209700) 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 1174750319.

Contact Information

	Dafna Rachel Wild, PA
	100 Pavonia Ave, Suite 409, Jersey City, NJ 07310-2778
	(201) 626-4040
	Not Available

Map and Direction

Provider's Profile

Full Name	Dafna Rachel Wild
Gender	Female
Speciality	Physician Assistant
Experience	19 Years
Location	100 Pavonia Ave, Jersey City, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dafna Rachel Wild graduated from nursing school in 2005

NPI Data:

NPI Number: 1174750319
Provider Enumeration Date: 06/15/2009
Last Update Date: 06/15/2009

Medicare PECOS Information:

PECOS PAC ID: 5890048300
Enrollment ID: I20181031001470

Medical Identifiers

Medical identifiers for Dafna Rachel Wild such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174750319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	25MP00209700 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clark Dermatology Llc	5395703573	44

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. Dafna Rachel Wild 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
Dafna Rachel Wild, PA 100 Pavonia Ave, Suite 409, Jersey City, NJ 07310-2778 Ph: (201) 626-4040	Dafna Rachel Wild, PA 100 Pavonia Ave, Suite 409, Jersey City, NJ 07310-2778 Ph: (201) 626-4040

Reviews and Comments

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Dafna Rachel Wild, PA - Medicare Physician Assistant in Jersey City, NJ