Dr Bernadette Maria Mandes Wildemore, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Dahlonega, Georgia. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2003 and has 23 years of diverse experience with area of expertise as Pathology. Her current practice location is
134 Ansley Dr Ste 500, Dahlonega, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 853-2419.
Dr Bernadette Maria Mandes Wildemore is licensed to practice in Pennsylvania (license number MD430740) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1487863858.
Physician's Profile
| Full Name | Dr Bernadette Maria Mandes Wildemore |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 23 Years |
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| Location | 134 Ansley Dr Ste 500, Dahlonega, Georgia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Bernadette Maria Mandes Wildemore attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2003
NPI Data:
- NPI Number: 1487863858
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 06/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 4183934961
- Enrollment ID: I20260407003506
Medical Identifiers
Medical identifiers for Dr Bernadette Maria Mandes Wildemore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487863858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD430740 (Pennsylvania) | Primary |
| 174400000X | Specialist | 2013-02274 (North Carolina) | Secondary |
| 174400000X | Specialist | 70607 (Georgia) | Secondary |
| 174400000X | Specialist | MD.33137 (Alabama) | Secondary |
| 174400000X | Specialist | MD430740 (Pennsylvania) | Secondary |
| 174400000X | Specialist | MD36443 (South Carolina) | Secondary |
| 174400000X | Specialist | 242668 (Massachusetts) | Secondary |
| 174400000X | Specialist | MD50706 (Tennessee) | Secondary |
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 Bernadette Maria Mandes Wildemore 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 Bernadette Maria Mandes Wildemore, MD 4405 Roseman Trl, Cumming, GA 30040-9367 Ph: (215) 609-7472 | Dr Bernadette Maria Mandes Wildemore, MD 134 Ansley Dr Ste 500, Dahlonega, GA 30533-1641 Ph: (678) 853-2419 |
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