Wendy Elizabeth Wild, PSYD is a medicare enrolled "Psychologist - Clinical" provider in New Freedom, Pennsylvania. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Wellspan Medical Group and her current practice location is
781 Far Hills Dr, Suite 600, New Freedom, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 812-2560.
Wendy Elizabeth Wild is licensed to practice in Pennsylvania (license number PS017278) 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 1215289509.
Healthcare Provider's Profile
| Full Name | Wendy Elizabeth Wild |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 13 Years |
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| Location | 781 Far Hills Dr, New Freedom, Pennsylvania |
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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:
- Wendy Elizabeth Wild attended and graduated from Philadelphia College Of Osteopathic Medicine in 2011
NPI Data:
- NPI Number: 1215289509
- Provider Enumeration Date: 10/10/2012
- Last Update Date: 02/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 1153573860
- Enrollment ID: I20121204000062
Medical Identifiers
Medical identifiers for Wendy Elizabeth Wild such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215289509 | NPI | - | NPPES |
| 4219858 | Other | PA | CIGNA BEHAVIORAL HEALTH |
| 2752730 | Other | PA | HIGHMARK BLUE SHIELD |
| 50112522 | Other | PA | CAPITAL BLUE CROSS - WMG |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS017278 (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS017278 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellspan Medical Group | 1951213115 | 1966 |
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. Wendy Elizabeth Wild allows following entities to bill medicare on her behalf.
| Entity Name | Wellspan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815 |
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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. Wendy Elizabeth 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 |
|---|
Wendy Elizabeth Wild, PSYD
1803 Mount Rose Ave, Suite B3,
York, PA 17403-3051
Ph: (717) 851-1405 | Wendy Elizabeth Wild, PSYD
781 Far Hills Dr, Suite 600,
New Freedom, PA 17349-8404
Ph: (717) 812-2560 |
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