Dr Brent Wild, DPT in Redlands, CA - Medicare Physical Therapist Provider

Dr Brent Wild, DPT is a medicare enrolled "Physical Therapist" provider in Redlands, California. His current practice location is 2079 Orange Tree Ln, Redlands, California. You can reach out to his office (for appointments etc.) via phone at (909) 435-5729.

Dr Brent Wild is licensed to practice in California (license number 42104) 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 1346638707.

Contact Information

	Dr Brent Wild, DPT
	2079 Orange Tree Ln, Redlands, CA 92374-2849
	(909) 435-5729
	(909) 295-3232

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brent Wild
Gender	Male
Speciality	Physical Therapist
Location	2079 Orange Tree Ln, Redlands, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346638707
Provider Enumeration Date: 01/07/2015
Last Update Date: 03/07/2022

Medicare PECOS Information:

PECOS PAC ID: 3375868417
Enrollment ID: I20150211001724

Medical Identifiers

Medical identifiers for Dr Brent Wild such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346638707	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	42104 (California)	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. Dr Brent Wild allows following entities to bill medicare on his behalf.

Provider Name	Citrus Valley Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740957521 PECOS PAC ID: 8820466105 Enrollment ID: O20221117000344

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. Dr Brent 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
Dr Brent Wild, DPT 2079 Orange Tree Ln, Redlands, CA 92374-2849 Ph: (909) 435-5729	Dr Brent Wild, DPT 2079 Orange Tree Ln, Redlands, CA 92374-2849 Ph: (909) 435-5729

Reviews and Comments

Physical Therapist in Redlands, CA

Elizabeth Shirley Cavazos, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Terracina Blvd, 202, Redlands, CA 92373 Phone: 909-792-9737 Fax: 909-798-8749
Kunal Palta, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27431 San Bernardino Ave Apt 275, Redlands, CA 92374 Phone: 951-208-3636
Melanie E. Fernando-reid, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1189 W State St, Redlands, CA 92373 Phone: 909-307-9121 Fax: 909-307-9161
Inland Healthcare Management Group Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 256 Cajon St Ste G, Redlands, CA 92373 Phone: 909-810-0185
Richard Lind, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Barton Rd, Ste B, Redlands, CA 92373 Phone: 909-255-1694 Fax: 909-307-0273
Ms. Kristen Louise Sanders Wellborn, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 347 Arrowview Dr, Redlands, CA 92373 Phone: 909-793-9130
Ahmad Salem, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Barton Rd Ste B, Redlands, CA 92373 Phone: 909-255-1694 Fax: 909-664-2313

Dr Brent Wild, DPT - Medicare Physical Therapist in Redlands, CA