Dr Adrian Kenneth Wyllie, MD is a medicare enrolled "General Practice" physician in Wallingford, Connecticut. He graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Complete Wound Care Llc and his current practice location is
4 Research Pkwy, Wallingford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 598-6045.
Dr Adrian Kenneth Wyllie is licensed to practice in Connecticut (license number 56766) 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 1407234685.
Physician's Profile
| Full Name | Dr Adrian Kenneth Wyllie |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 11 Years |
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| Location | 4 Research Pkwy, Wallingford, Connecticut |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Adrian Kenneth Wyllie graduated from medical school in 2014
NPI Data:
- NPI Number: 1407234685
- Provider Enumeration Date: 05/08/2015
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7719291525
- Enrollment ID: I20170810001282
Medical Identifiers
Medical identifiers for Dr Adrian Kenneth Wyllie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407234685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 56766 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Complete Wound Care Llc | 8729445580 | 5 |
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 Adrian Kenneth Wyllie allows following entities to bill medicare on his behalf.
| Entity Name | Complete Wound Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033801568
PECOS PAC ID: 8729445580
Enrollment ID: O20230609000583 |
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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. Dr Adrian Kenneth Wyllie 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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Dr Adrian Kenneth Wyllie, MD
4 Research Pkwy,
Wallingford, CT 06492-1929
Ph: (203) 598-6045 | Dr Adrian Kenneth Wyllie, MD
4 Research Pkwy,
Wallingford, CT 06492-1929
Ph: (203) 598-6045 |
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