Dr John K Wildemore Iv, MD in Wayne, PA

Dr John K Wildemore Iv, MD is a medicare enrolled "Dermatology" physician in Wayne, Pennsylvania. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1996 and has 28 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice John K. Wildemore, Md, Llc and his current practice location is 744 W Lancaster Ave, Suite 230, Wayne, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 688-8750.

Dr John K Wildemore Iv is licensed to practice in Pennsylvania (license number MD423121) 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 1295712487.

Contact Information

	Dr John K Wildemore Iv, MD
	744 W Lancaster Ave, Suite 230, Wayne, PA 19087-2523
	(610) 688-8750
	(610) 688-8751

Map and Direction

Physician's Profile

Full Name	Dr John K Wildemore Iv
Gender	Male
Speciality	Dermatology
Experience	28 Years
Location	744 W Lancaster Ave, Wayne, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr John K Wildemore Iv attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1996

NPI Data:

NPI Number: 1295712487
Provider Enumeration Date: 12/28/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729988555
Enrollment ID: I20040109000407

Medical Identifiers

Medical identifiers for Dr John K Wildemore Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295712487	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD423121 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John K. Wildemore, Md, Llc	5698775104	4

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 John K Wildemore Iv allows following entities to bill medicare on his behalf.

Entity Name	John K. Wildemore, Md, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376632257 PECOS PAC ID: 5698775104 Enrollment ID: O20070108000169

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 John K Wildemore Iv 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 John K Wildemore Iv, MD 744 W Lancaster Ave, Suite 230, Wayne, PA 19087-2523 Ph: (610) 688-8750	Dr John K Wildemore Iv, MD 744 W Lancaster Ave, Suite 230, Wayne, PA 19087-2523 Ph: (610) 688-8750

Reviews and Comments

Dermatology Doctors in Wayne, PA

Dr. Nikhil Shyam, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 995 Old Eagle School Rd Ste 304f, Wayne, PA 19087 Phone: 610-688-3099 Fax: 610-687-5350
David Patrick Manion, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087 Phone: 610-688-3099 Fax: 610-687-5350
Dr. Susan Seo, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 995 Old Eagle School Rd, Wayne, PA 19087 Phone: 610-688-3099

Dr John K Wildemore Iv, MD - Medicare Dermatology in Wayne, PA