| Dr James E Wild, MD | |
|
1 School St, Suite 107, Gowanda, NY 14070-1133 | |
| (716) 241-7067 | |
| (833) 464-5024 |
| Full Name | Dr James E Wild |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 1 School St, Gowanda, New York |
| 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 |
|---|---|---|---|
| 1437140985 | NPI | - | NPPES |
| 01028606 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 160937 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vna Of Western Ny Chha | Williamsville, NY | Home health agency |
| Home Care And Hospice | Olean, NY | Hospice |
| Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
| Bertrand Chaffee Hospital | Springville, NY | Hospital |
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Chautauqua Center, Inc | 7214178326 | 38 |
| Entity Name | Tlc Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487738886 PECOS PAC ID: 9335059757 Enrollment ID: O20031103000403 |
| Entity Name | Tri-county Family Medicine Asso Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730268541 PECOS PAC ID: 6901852953 Enrollment ID: O20050323000801 |
| Entity Name | The Chautauqua Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760747521 PECOS PAC ID: 7214178326 Enrollment ID: O20130805000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James E Wild, MD 1 School St, Suite 107, Gowanda, NY 14070-1133 Ph: (716) 241-7067 | Dr James E Wild, MD 1 School St, Suite 107, Gowanda, NY 14070-1133 Ph: (716) 241-7067 |
Dr. Dana P Anderson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 School St, Suite 107, Gowanda, NY 14070 Phone: 716-241-7067 Fax: 833-464-5024 |