Lee Rose Wilde, in Tuba City, AZ - Medicare Obstetrics/gynecology

Lee Rose Wilde, is a medicare enrolled "Obstetrics & Gynecology" physician in Tuba City, Arizona. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Tuba City Regional Health Care Corporation and her current practice location is 167 North Main St, Tuba City, Arizona. You can reach out to her office (for appointments etc.) via phone at (866) 976-5940.

Lee Rose Wilde is licensed to practice in Arizona (license number 00821) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700101060.

Contact Information

	Lee Rose Wilde,
	167 North Main St, Tuba City, AZ 86045
	(866) 976-5940
	Not Available

Map and Direction

Physician's Profile

Full Name	Lee Rose Wilde
Gender	Female
Speciality	Obstetrics/gynecology
Experience	14 Years
Location	167 North Main St, Tuba City, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lee Rose Wilde graduated from medical school in 2010

NPI Data:

NPI Number: 1700101060
Provider Enumeration Date: 03/30/2010
Last Update Date: 09/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1052554847
Enrollment ID: I20141002001974

Medical Identifiers

Medical identifiers for Lee Rose Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700101060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	00821 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tuba City Regional Health Care Corporation	4284542531	124

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. Lee Rose Wilde allows following entities to bill medicare on her behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Lee Rose 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 Address	Practice Location Address
Lee Rose Wilde, 4890 E Snowshoe Way, Flagstaff, AZ 86004-2832 Ph: (928) 707-9875	Lee Rose Wilde, 167 North Main St, Tuba City, AZ 86045 Ph: (866) 976-5940

Reviews and Comments

Obstetrics & Gynecology Doctors in Tuba City, AZ

Jennifer J Whitehair, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Amanda Leib, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Kathleen A Harner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
James Scott Deasy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Holly V. Alfrey-van Dyk, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Kathy A Deasy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677

Lee Rose Wilde, - Medicare Obstetrics/gynecology in Tuba City, AZ