Dr Guito Wingfield, MD is a medicare enrolled "Clinic/center - Primary Care" physician in Centralia, Washington. His current practice location is
1755 Kresky Ave., Centralia, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 669-0098.
Dr Guito Wingfield is licensed to practice in Washington (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699792242.
Physician's Profile
| Full Name | Dr Guito Wingfield |
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| Gender | Male |
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| Speciality | Clinic/center - Primary Care |
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| Location | 1755 Kresky Ave., Centralia, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699792242
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597720490
- Enrollment ID: I20080930000350
Medical Identifiers
Medical identifiers for Dr Guito Wingfield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699792242 | NPI | - | NPPES |
| 1013550987 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 00048810 (Washington) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (Washington) | Primary |
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 Guito Wingfield allows following entities to bill medicare on his behalf.
| Entity Name | Rejuventa Medical Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013550987
PECOS PAC ID: 6305270844
Enrollment ID: O20191216003122 |
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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 Guito Wingfield 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 Guito Wingfield, MD
1755 Kresky Ave. Box #16,
Centralia, WA 98531
Ph: (360) 736-1961 | Dr Guito Wingfield, MD
1755 Kresky Ave.,
Centralia, WA 98531
Ph: (360) 669-0098 |
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