Mrs Terra Brooke Wadley, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Lexington, Kentucky. Her current practice location is
828 Lane Allen Rd Ste 219, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(443) 383-9300.
Mrs Terra Brooke Wadley is licensed to practice in Kentucky (license number 3013345) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578100384.
Physician's Profile
| Full Name | Mrs Terra Brooke Wadley |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Gerontology |
|---|
| Location | 828 Lane Allen Rd Ste 219, Lexington, Kentucky |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578100384
- Provider Enumeration Date: 12/01/2019
- Last Update Date: 11/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688087877
- Enrollment ID: I20210107001243
Medical Identifiers
Medical identifiers for Mrs Terra Brooke Wadley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578100384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 3013345 (Kentucky) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 3013345 (Kentucky) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 3013345 (Kentucky) | 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. Mrs Terra Brooke Wadley allows following entities to bill medicare on her behalf.
| Entity Name | Pain Management Centers Of America Psc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1992271811 PECOS PAC ID: 2769727114 Enrollment ID: O20190205002506 |
|---|
| Entity Name | Consonant Healing Associates Of De Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669099321 PECOS PAC ID: 2466871694 Enrollment ID: O20210308002835 |
|---|
| Entity Name | Bluegrass Healthcare |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1851139125 PECOS PAC ID: 7719410950 Enrollment ID: O20241028001024 |
|---|
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. Mrs Terra Brooke Wadley 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 |
Mrs Terra Brooke Wadley, APRN 909 Ridgebrook Rd Ste 300, Sparks Glencoe, MD 21152-9477 Ph: (443) 383-9300 | Mrs Terra Brooke Wadley, APRN 828 Lane Allen Rd Ste 219, Lexington, KY 40504-3659 Ph: (443) 383-9300 |
Reviews and Comments