| Dr Elijah Wilder, DO | |
|
41877 Enterprise Cir N Ste 200, Temecula, CA 92590-5628 | |
| (909) 755-0585 | |
| (951) 228-9267 |
| Full Name | Dr Elijah Wilder |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 14 Years |
| Location | 41877 Enterprise Cir N Ste 200, Temecula, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083976971 | NPI | - | NPPES |
| 7100473760 | Medicaid | KY | |
| 300047738 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Dearborn Hospital | Lawrenceburg, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Activate Cr, Pllc | 5193255099 | 10 |
| Community Mental Health Center Inc. | 1456330166 | 42 |
| Activate Cr, Pllc | 5193255099 | 10 |
| Entity Name | Activate CR, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063221851 PECOS PAC ID: 5193255099 Enrollment ID: O20250207000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elijah Wilder, DO Po Box 636256, Central Credentialing Ml 806, Cincinnati, OH 45263-6256 Ph: (513) 585-5508 | Dr Elijah Wilder, DO 41877 Enterprise Cir N Ste 200, Temecula, CA 92590-5628 Ph: (909) 755-0585 |
Marilou C Rosas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 32605 Temecula Pkwy, Suite 219, Temecula, CA 92592 Phone: 951-506-9112 Fax: 951-506-9113 |
Branko N Huisa, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 44045 Margarita Rd Ste 106, Temecula, CA 92592 Phone: 951-462-4624 Fax: 951-462-4625 |
Dr. Harinder Grewal, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 27715 Jefferson Ave, 113 B, Temecula, CA 92590 Phone: 951-699-3644 Fax: 951-699-1196 |
Sana L. Johnson-quijada, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 32605 Temecula Pkwy Ste 220, Temecula, CA 92592 Phone: 951-514-1234 Fax: 888-313-3358 |
Melanie Wu, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 44045 Margarita Rd Ste 106, Temecula, CA 92592 Phone: 951-462-4624 Fax: 951-462-4625 |
Joseph R Errico, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 31938 Temecula Pkwy # 178, Temecula, CA 92592 Phone: 918-256-7841 |
Mr. Edward A Cherlin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 29645 Rancho California Rd Ste 133, Temecula, CA 92591 Phone: 951-695-6238 Fax: 800-670-4969 |