Mr Jeremy Paul Wade, FNP, ENP, PMHNP - Medicare Nurse Practitioner in Meridian, ID

Mr Jeremy Paul Wade, FNP, ENP, PMHNP is a medicare enrolled "Nurse Practitioner - Family" in Meridian, Idaho. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Covington County Hospital, Haas Associates, Llc, Haas Associates, Llc and his current practice location is 1047 S Wells St, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at (601) 451-4333.

Mr Jeremy Paul Wade is licensed to practice in Mississippi (license number 862789) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538494489.

Contact Information

Mr Jeremy Paul Wade, FNP, ENP, PMHNP
1047 S Wells St,
Meridian, ID 83642-7997
(601) 451-4333
(888) 317-1077

Map and Direction




Provider's Profile

Full NameMr Jeremy Paul Wade
GenderMale
SpecialityNurse Practitioner
Experience15 Years
Location1047 S Wells St, Meridian, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jeremy Paul Wade graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1538494489
  • Provider Enumeration Date: 10/09/2009
  • Last Update Date: 06/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406029487
  • Enrollment ID: I20111108000436

Medical Identifiers

Medical identifiers for Mr Jeremy Paul Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538494489NPI-NPPES
00534527MedicaidMS
500830485MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 10017010 (Oregon)Secondary
163W00000XRegistered Nurse 862789 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family CS72647 (Idaho)Secondary
363LF0000XNurse Practitioner - Family 10017010 (Oregon)Secondary
363LF0000XNurse Practitioner - Family 77657 (Idaho)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 77657 (Idaho)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health CS72647 (Idaho)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 862789 (Mississippi)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10017010 (Oregon)Secondary
363LF0000XNurse Practitioner - Family 862789 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Covington County Hospital CahCollins, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Covington County Hospital418351725333
Haas Associates, Llc48800801005
Haas Associates, Llc48800801005

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. Mr Jeremy Paul Wade allows following entities to bill medicare on his behalf.
Entity NameCovington County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518260330
PECOS PAC ID: 4183517253
Enrollment ID: O20040203000816
Entity NamePearl River County Hospital & Nursing Home
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003026717
PECOS PAC ID: 5496704363
Enrollment ID: O20050118000715
Entity NameFgh Physician Billing
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053469700
PECOS PAC ID: 1850344946
Enrollment ID: O20050301000617
Entity NameRelias Emergency Medicine Specialists Of Hattiesburg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609409440
PECOS PAC ID: 9032549142
Enrollment ID: O20200413002970
Entity NameRelias Emergency Medicine Specialists Of St Dominic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235808122
PECOS PAC ID: 2466840152
Enrollment ID: O20211029000889

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. Mr Jeremy Paul Wade 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 AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Meridian, ID

Jennifer Lytle, FNP-C
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Phone: 208-895-8670    Fax: 208-955-0494
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Phone: 208-288-4200    Fax: 208-288-4279
Sarah Cheree Johnson, NP-C
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Practice Location: 3653 N Locust Grove Rd, Meridian, ID 83646
Phone: 208-302-7300    Fax: 208-302-7355

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.