Kim L Wilde, MD - Medicare Internal Medicine in Duluth, MN

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Kim L Wilde, MD is a medicare enrolled "Internal Medicine" physician in Duluth, Minnesota. His current practice location is 1001 E Superior St Ste L401, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 249-7960.

Kim L Wilde is licensed to practice in Minnesota (license number 65959) 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 1891744140.

Contact Information

Kim L Wilde, MD
1001 E Superior St Ste L401,
Duluth, MN 55802
(218) 249-7960
(218) 249-7997

Map and Direction




Physician's Profile

Full NameKim L Wilde
GenderMale
SpecialityInternal Medicine
Location1001 E Superior St Ste L401, Duluth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891744140
  • Provider Enumeration Date: 05/06/2006
  • Last Update Date: 12/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3375686173
  • Enrollment ID: I20190123000471

Medical Identifiers

Medical identifiers for Kim L Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891744140NPI-NPPES
6000743MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2534 (South Dakota)Secondary
207R00000XInternal Medicine 65959 (Minnesota)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. Kim L Wilde allows following entities to bill medicare on his behalf.
Entity NameWagner Indian Health Service Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326066796
PECOS PAC ID: 6305758483
Enrollment ID: O20031105000746
Entity NameQuentin N Burdick Comprehensive Health Care Facility
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952346934
PECOS PAC ID: 5496651853
Enrollment ID: O20031208001052
Entity NameRosebud Indian Health Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194757369
PECOS PAC ID: 6901704055
Enrollment ID: O20031226000337
Entity NameFort Thompson Indian Health Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710995907
PECOS PAC ID: 9739080896
Enrollment ID: O20040120000889
Entity NameEagle Butte Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558395848
PECOS PAC ID: 7517852759
Enrollment ID: O20040217001024
Entity NameWinnebago Tribe Of Nebraska
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033608328
PECOS PAC ID: 7113268640
Enrollment ID: O20190411000117
Entity NameGreat Plains Tribal Chairmens Health Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376105452
PECOS PAC ID: 0648609917
Enrollment ID: O20200408001014
Entity NameEastern Shoshone Tribe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770328718
PECOS PAC ID: 7810422193
Enrollment ID: O20241122002799

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. Kim L Wilde 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
Kim L Wilde, MD
1001 E Superior St Ste L401,
Duluth, MN 55802-2207

Ph: (218) 249-7960		Kim L Wilde, MD
1001 E Superior St Ste L401,
Duluth, MN 55802

Ph: (218) 249-7960

Reviews and Comments


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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.