John A Wilder, PHD in Charlotte, NC - Medicare Psychologist Provider

John A Wilder, PHD is a medicare enrolled "Psychologist" provider in Charlotte, North Carolina. His current practice location is 14818 Capricorn Ln, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 517-2138.

John A Wilder is licensed to practice in North Carolina (license number 3005) 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 1164517819.

Contact Information

	John A Wilder, PHD
	14818 Capricorn Ln, Charlotte, NC 28277-2927
	(704) 517-2138
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	John A Wilder
Gender	Male
Speciality	Psychologist
Location	14818 Capricorn Ln, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164517819
Provider Enumeration Date: 10/04/2006
Last Update Date: 02/27/2020

Medicare PECOS Information:

PECOS PAC ID: 8325063548
Enrollment ID: I20051006000939

Medical Identifiers

Medical identifiers for John A Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164517819	NPI	-	NPPES
P00316181	Other	NC	RR MEDICARE # - PARADIGM
6000785	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	P3005 (North Carolina)	Secondary
103T00000X	Psychologist	3005 (North Carolina)	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. John A Wilder allows following entities to bill medicare on his behalf.

Entity Name	Inpatient Consultants Of North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669422846 PECOS PAC ID: 5991720591 Enrollment ID: O20051012001172

Entity Name	Opportunities Industrialization Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396103305 PECOS PAC ID: 3173563590 Enrollment ID: O20161104000262

Entity Name	Nm Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20200109003016

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. John A Wilder 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
John A Wilder, PHD 13575 58th St N, Suite 187, Clearwater, FL 33760-3740 Ph: (800) 632-6074	John A Wilder, PHD 14818 Capricorn Ln, Charlotte, NC 28277-2927 Ph: (704) 517-2138

Reviews and Comments

Psychologist in Charlotte, NC

Jennifer Manning Thomas, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 206, Charlotte, NC 28211 Phone: 704-381-8336
Raquan Moser, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5108 Reagan Dr Ste 14, Charlotte, NC 28206 Phone: 704-332-8387
Sara L Schara Mcanulty, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2610 E 7th St, Charlotte, NC 28204 Phone: 704-375-8900 Fax: 704-335-7178
Dr. Rebecca Griffin Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 769 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-7180 Fax: 704-531-9266
Chantel Simpson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17512 Chaco Ln, Charlotte, NC 28278 Phone: 718-926-0914
Briana Melissa Webber-lind, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12815 Longstraw Rd, Charlotte, NC 28227 Phone: 704-490-5848
Dr. Heather Noel Anschuetz-jeffers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10001 Old Concord Rd, Charlotte, NC 28213 Phone: 704-547-7483 Fax: 704-547-0052

John A Wilder, PHD - Medicare Psychologist in Charlotte, NC