Dr Thomas Oliver Wildes, MD - Medicare Otolaryngology in Chippewa Falls, WI

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Dr Thomas Oliver Wildes, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Chippewa Falls, Wisconsin. His current practice location is 962 Parkland Dr, Chippewa Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 345-3677.

Dr Thomas Oliver Wildes is licensed to practice in Wisconsin (license number 26197-020) 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 1154393791.

Contact Information

Dr Thomas Oliver Wildes, MD
962 Parkland Dr,
Chippewa Falls, WI 54729-5084
(608) 345-3677
Not Available

Map and Direction




Physician's Profile

Full NameDr Thomas Oliver Wildes
GenderMale
SpecialityOtolaryngology - Otolaryngology/facial Plastic Surgery
Location962 Parkland Dr, Chippewa Falls, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154393791
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 12/02/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4486606738
  • Enrollment ID: I20130211000481

Medical Identifiers

Medical identifiers for Dr Thomas Oliver Wildes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154393791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 26197-020 (Wisconsin)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 Thomas Oliver Wildes allows following entities to bill medicare on his behalf.
Entity NameBanner Physician Specialists Arizona LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821368218
PECOS PAC ID: 6204002272
Enrollment ID: O20111222000509
Entity NameBanner - University Physician Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437529245
PECOS PAC ID: 5991008054
Enrollment ID: O20160122001476

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 Thomas Oliver Wildes 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 AddressPractice Location Address
Dr Thomas Oliver Wildes, MD
962 Parkland Dr,
Chippewa Falls, WI 54729-5084

Ph: (608) 345-3677		Dr Thomas Oliver Wildes, MD
962 Parkland Dr,
Chippewa Falls, WI 54729-5084

Ph: (608) 345-3677

Reviews and Comments


Otolaryngology Doctors in Chippewa Falls, WI

David M Stone, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 2661 County Highway I, Chippewa Falls, WI 54729
Phone: 715-723-1811    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.