Sarah Wild, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rochester, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Great Lakes Anesthesia Pc, Ams Northern Indiana Llc and her current practice location is
1400 E 9th St, Rochester, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 223-3141.
Sarah Wild is licensed to practice in Florida (license number 129749) 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 1821615626.
Provider's Profile
| Full Name | Sarah Wild |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 1400 E 9th St, Rochester, Indiana |
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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:
- Sarah Wild graduated from nursing school in 2020
NPI Data:
- NPI Number: 1821615626
- Provider Enumeration Date: 06/29/2020
- Last Update Date: 06/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 1254756455
- Enrollment ID: I20200805001690
Medical Identifiers
Medical identifiers for Sarah Wild such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821615626 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 129749 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Great Lakes Anesthesia Pc | 0648183442 | 9 |
| Ams Northern Indiana Llc | 8022444306 | 14 |
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. Sarah Wild allows following entities to bill medicare on her behalf.
| Entity Name | Great Lakes Anesthesia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720039977
PECOS PAC ID: 0648183442
Enrollment ID: O20031107000452 |
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| Entity Name | Ams Northern Indiana Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427619840
PECOS PAC ID: 8022444306
Enrollment ID: O20200205000244 |
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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. Sarah 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 |
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Sarah Wild, CRNA
2923 Country Club Dr S,
Rochester, IN 46975-8925
Ph: (727) 542-6015 | Sarah Wild, CRNA
1400 E 9th St,
Rochester, IN 46975-8931
Ph: (574) 223-3141 |
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