| Jason Matthew Wilder, DO | |
|
160 Hawley Ln, Suite 104, Trumbull, CT 06611-5300 | |
| (203) 377-0639 | |
| Not Available |
| Full Name | Jason Matthew Wilder |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 27 Years |
| Location | 160 Hawley Ln, Trumbull, Connecticut |
| 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 |
|---|---|---|---|
| 1952327629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 039925 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adult And Pediatric Dermatology Specialists, P.c. | 5395806095 | 9 |
| Entity Name | Adult & Pediatric Dermatology Specialists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013035138 PECOS PAC ID: 5395806095 Enrollment ID: O20081212000117 |
| Entity Name | Adult & Pediatric Dermatology Specialists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528275773 PECOS PAC ID: 5395806095 Enrollment ID: O20090216000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Matthew Wilder, DO 160 Hawley Ln, Suite 104, Trumbull, CT 06611-5300 Ph: (203) 377-0639 | Jason Matthew Wilder, DO 160 Hawley Ln, Suite 104, Trumbull, CT 06611-5300 Ph: (203) 377-0639 |
Seth Perry Lerner, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 160 Hawley Ln, Suite 104, Trumbull, CT 06611 Phone: 203-377-0639 | |
Dr. Amanda Perez, DNP, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 95 Stemway Rd, Trumbull, CT 06611 Phone: 203-275-5803 | |
Deirdre Brianne Cannon, PAC Dermatology Medicare: Accepting Medicare Assignments Practice Location: 160 Hawley Ln, Suite 104, Trumbull, CT 06611 Phone: 203-377-0639 Fax: 203-386-9706 | |
Michael Patrick Noonan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 160 Hawley Ln, Trumbull, CT 06611 Phone: 203-377-0639 | |
Dr. Alexander Fogel, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 160 Hawley Ln, Trumbull, CT 06611 Phone: 203-377-0639 Fax: 203-386-9706 | |
Dr. Robert J Patrignelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 965 White Plains Rd, Trumbull, CT 06611 Phone: 203-261-0800 Fax: 203-268-2668 |