Mr Jeremy Paul Wade, FNP, ENP, PMHNP | |
1047 S Wells St, Meridian, ID 83642-7997 | |
(601) 451-4333 | |
(888) 317-1077 |
Full Name | Mr Jeremy Paul Wade |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 1047 S Wells St, Meridian, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538494489 | NPI | - | NPPES |
00534527 | Medicaid | MS | |
500830485 | Medicaid | OR |
Facility Name | Location | Facility Type |
---|---|---|
Covington County Hospital Cah | Collins, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Covington County Hospital | 4183517253 | 33 |
Haas Associates, Llc | 4880080100 | 5 |
Haas Associates, Llc | 4880080100 | 5 |
Entity Name | Covington County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816 |
Entity Name | Pearl River County Hospital & Nursing Home |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003026717 PECOS PAC ID: 5496704363 Enrollment ID: O20050118000715 |
Entity Name | Fgh Physician Billing |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053469700 PECOS PAC ID: 1850344946 Enrollment ID: O20050301000617 |
Entity Name | Relias Emergency Medicine Specialists Of Hattiesburg Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609409440 PECOS PAC ID: 9032549142 Enrollment ID: O20200413002970 |
Entity Name | Relias Emergency Medicine Specialists Of St Dominic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235808122 PECOS PAC ID: 2466840152 Enrollment ID: O20211029000889 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremy Paul Wade, FNP, ENP, PMHNP 4780 I 55 N, Suite 116, Pmb 989333, Jackson, MS 39211-6067 Ph: (601) 451-4333 | Mr Jeremy Paul Wade, FNP, ENP, PMHNP 1047 S Wells St, Meridian, ID 83642-7997 Ph: (601) 451-4333 |
Jennifer Lytle, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3280 E Lanark Dr, Meridian, ID 83642 Phone: 208-895-8670 Fax: 208-955-0494 | |
Rachael Marie Knuteson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1948 S Eagle Rd, Meridian, ID 83642 Phone: 208-322-7900 | |
Heidi Ann Fanslow, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6830 N Agrarian Ave, Meridian, ID 83646 Phone: 253-951-8331 | |
Josef Mcguire, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3080 E Gentry Way Ste 210, Meridian, ID 83642 Phone: 208-384-9022 | |
Melanie Maltese, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 S Baltic Pl, Meridian, ID 83642 Phone: 208-887-4872 | |
Michael Pahang, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 N Crestmont Dr, Meridian, ID 83642 Phone: 208-288-4200 Fax: 208-288-4279 | |
Sarah Cheree Johnson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3653 N Locust Grove Rd, Meridian, ID 83646 Phone: 208-302-7300 Fax: 208-302-7355 |