Dustin Wade, - Medicare Nurse Practitioner in Shawnee, OK

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Dustin Wade, is a medicare enrolled "Nurse Practitioner - Family" in Shawnee, Oklahoma. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Crossroads Medical Management Pc, Icare Center Llc and his current practice location is 2508 N Harrison St, Shawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 585-2030.

Dustin Wade is licensed to practice in Oklahoma (license number 91102) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013323336.

Contact Information

Dustin Wade,
2508 N Harrison St,
Shawnee, OK 74804-3131
(405) 585-2030
Not Available

Map and Direction




Provider's Profile

Full NameDustin Wade
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location2508 N Harrison St, Shawnee, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dustin Wade graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1013323336
  • Provider Enumeration Date: 07/08/2014
  • Last Update Date: 06/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668718891
  • Enrollment ID: I20190109002012

Medical Identifiers

Medical identifiers for Dustin Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013323336NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 91102 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crossroads Medical Management Pc41838567843
Icare Center Llc084055577722

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. Dustin Wade allows following entities to bill medicare on his behalf.
Entity NameNorman Regional Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912563727
PECOS PAC ID: 2769395185
Enrollment ID: O20031111000299
Entity NameHealthcare Stat
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609029644
PECOS PAC ID: 7012067762
Enrollment ID: O20090618000208
Entity NameCrossroads Medical Management Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780011874
PECOS PAC ID: 4183856784
Enrollment ID: O20140414001788
Entity NameHealthcare Stat Of Anadarko Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811359607
PECOS PAC ID: 5799074407
Enrollment ID: O20160519001701
Entity NameHealthcare Stat Of Newcastle Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346796604
PECOS PAC ID: 2769760768
Enrollment ID: O20161026001208
Entity NameIcare Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881190833
PECOS PAC ID: 0840555777
Enrollment ID: O20180524001890

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. Dustin Wade 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 AddressPractice Location Address
Dustin Wade,
821 E Veterans Memorial Hwy,
Blanchard, OK 73010-9215

Ph: () -		Dustin Wade,
2508 N Harrison St,
Shawnee, OK 74804-3131

Ph: (405) 585-2030

Reviews and Comments


Nurse Practitioner Nurses in Shawnee, OK

Mrs. Sabrina R Lafrance, CNP-FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 30 Redbud Ln, Shawnee, OK 74801
Phone: 509-554-9250    
Jodi Jenista, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 130 N Broadway Ave Ste 300, Shawnee, OK 74801
Phone: 405-395-0399    Fax: 405-395-0330
Susan George,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801
Phone: 405-878-5850    
Cindy Cheatwood, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2508 N Harrison St, Shawnee, OK 74804
Phone: 405-585-2030    Fax: 405-585-2859
Bonnie Nadaene Grude,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5903 Gabriel, Shawnee, OK 74804
Phone: 918-470-0324    
Ms. Janet Sue Pasquali Bowers, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3306 N Kickapoo Ave, Suite 150 & 154, Shawnee, OK 74804
Phone: 405-628-6535    Fax: 405-628-6532

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.