Elijah Forrest Wilder, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mount Juliet, Tennessee. His current practice location is
325 Old Pleasant Grove Rd, Mount Juliet, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(629) 255-2240.
Elijah Forrest Wilder is licensed to practice in Tennessee (license number 74221) 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 1144899055.
Physician's Profile
Full Name | Elijah Forrest Wilder |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 325 Old Pleasant Grove Rd, Mount Juliet, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144899055
- Provider Enumeration Date: 06/24/2021
- Last Update Date: 06/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224439435
- Enrollment ID: I20210625000753
Medical Identifiers
Medical identifiers for Elijah Forrest Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144899055 | NPI | - | NPPES |
Q102837 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 74221 (Tennessee) | Primary |
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. Elijah Forrest Wilder 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 |
Elijah Forrest Wilder, MD 222 22nd Ave N, Nashville, TN 37203-1852 Ph: (629) 255-3486 | Elijah Forrest Wilder, MD 325 Old Pleasant Grove Rd, Mount Juliet, TN 37122-4493 Ph: (629) 255-2240 |
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