Mandy L Wilde, CNP is a medicare enrolled "Nurse Practitioner" in Arlington, South Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice City Of Brookings and her current practice location is
104 W Birch St, Arlington, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 983-3283.
Mandy L Wilde is licensed to practice in South Dakota (license number CP001281) 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 1316456908.
Provider's Profile
| Full Name | Mandy L Wilde |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 104 W Birch St, Arlington, South Dakota |
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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:
- Mandy L Wilde graduated from nursing school in 2017
NPI Data:
- NPI Number: 1316456908
- Provider Enumeration Date: 09/26/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456617208
- Enrollment ID: I20171109003479
Medical Identifiers
Medical identifiers for Mandy L Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316456908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | CP001281 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| City Of Brookings | 1052307105 | 89 |
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. Mandy L Wilde allows following entities to bill medicare on her behalf.
| Entity Name | City Of Brookings |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932281029
PECOS PAC ID: 1052307105
Enrollment ID: O20040423000002 |
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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. Mandy L Wilde 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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Mandy L Wilde, CNP
300 22nd Ave,
Brookings, SD 57006-2480
Ph: (605) 696-9000 | Mandy L Wilde, CNP
104 W Birch St,
Arlington, SD 57212
Ph: (605) 983-3283 |
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