Gary L Wade, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jamestown, North Dakota. His current practice location is
2422 20th St Sw, Jamestown, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 952-4854.
Gary L Wade is licensed to practice in Washington (license number MD00022330) 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 1306832571.
Physician's Profile
| Full Name | Gary L Wade |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 2422 20th St Sw, Jamestown, North Dakota |
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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: 1306832571
- Provider Enumeration Date: 09/23/2005
- Last Update Date: 08/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 7012918352
- Enrollment ID: I20070129000651
Medical Identifiers
Medical identifiers for Gary L Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306832571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | MD00022330 (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. Gary L Wade allows following entities to bill medicare on his behalf.
| Entity Name | Renaissance Imaging Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487608931
PECOS PAC ID: 7315841756
Enrollment ID: O20031126000257 |
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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. Gary L Wade 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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Gary L Wade, MD
484 Snider Dr,
Walla Walla, WA 99362-8075
Ph: (530) 340-1428 | Gary L Wade, MD
2422 20th St Sw,
Jamestown, ND 58401-6201
Ph: (701) 952-4854 |
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