Mrs Casey Marie Wild, NP in Buffalo, NY - Medicare Nurse Practitioner

Mrs Casey Marie Wild, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Buffalo, New York. Her current practice location is 1001 Main St Fl 4, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 323-0170.

Mrs Casey Marie Wild is licensed to practice in New York (license number 381988) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881845980.

Contact Information

	Mrs Casey Marie Wild, NP
	1001 Main St Fl 4, Buffalo, NY 14203-1009
	(716) 323-0170
	(716) 323-0297

Map and Direction

Provider's Profile

Full Name	Mrs Casey Marie Wild
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1001 Main St Fl 4, Buffalo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881845980
Provider Enumeration Date: 10/07/2008
Last Update Date: 02/22/2021

Medicare PECOS Information:

PECOS PAC ID: 9032268677
Enrollment ID: I20090601000341

Medical Identifiers

Medical identifiers for Mrs Casey Marie Wild such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881845980	NPI	-	NPPES
03057545	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	381988 (New York)	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. Mrs Casey Marie Wild allows following entities to bill medicare on her behalf.

Entity Name	Sisters Of Charity Hospital Of Buffalo New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790727543 PECOS PAC ID: 6204749153 Enrollment ID: O20031126000557

Entity Name	University At Buffalo Pediatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912928599 PECOS PAC ID: 1355235540 Enrollment ID: O20040210000076

Entity Name	Olean General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20040401001531

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. Mrs Casey Marie 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
Mrs Casey Marie Wild, NP 1001 Main St Fl 5, Buffalo, NY 14203-1009 Ph: (716) 323-0170	Mrs Casey Marie Wild, NP 1001 Main St Fl 4, Buffalo, NY 14203-1009 Ph: (716) 323-0170

Reviews and Comments

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Mrs Casey Marie Wild, NP - Medicare Nurse Practitioner in Buffalo, NY