Matthew R Wilding, AA-C is a medicare enrolled "Anesthesiologist Assistant" in Lithia, Florida. His current practice location is
6116 Avocetridge Dr, Lithia, Florida. You can reach out to his office (for appointments etc.) via phone at
(201) 240-8448.
Matthew R Wilding is licensed to practice in Florida (license number AA107) 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 1487938049.
Provider's Profile
| Full Name | Matthew R Wilding |
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| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 6116 Avocetridge Dr, Lithia, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487938049
- Provider Enumeration Date: 09/30/2011
- Last Update Date: 09/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 3375710866
- Enrollment ID: I20120124000923
Medical Identifiers
Medical identifiers for Matthew R Wilding such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487938049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | AA107 (Florida) | 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. Matthew R Wilding allows following entities to bill medicare on his behalf.
| Entity Name | Northwood Anesthesia Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801847405
PECOS PAC ID: 8022920255
Enrollment ID: O20031105000191 |
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| Entity Name | Sheridan Healthcorp Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355 |
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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. Matthew R Wilding 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 |
|---|
Matthew R Wilding, AA-C
6116 Avocetridge Dr,
Lithia, FL 33547-4845
Ph: (201) 240-8448 | Matthew R Wilding, AA-C
6116 Avocetridge Dr,
Lithia, FL 33547-4845
Ph: (201) 240-8448 |
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