Dr Wade Jason Brandt, CNP - Medicare Nurse Practitioner in Newark, NY

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Dr Wade Jason Brandt, CNP is a medicare enrolled "Nurse Practitioner - Family" in Newark, New York. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Grande Ronde Hospital Inc and his current practice location is 1200 Driving Park Ave, Newark, New York. You can reach out to his office (for appointments etc.) via phone at (315) 359-2123.

Dr Wade Jason Brandt is licensed to practice in New York (license number 344384) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629070297.

Contact Information

Dr Wade Jason Brandt, CNP
1200 Driving Park Ave,
Newark, NY 14513
(315) 359-2123
(315) 359-2167

Map and Direction




Provider's Profile

Full NameDr Wade Jason Brandt
GenderMale
SpecialityNurse Practitioner
Experience13 Years
Location1200 Driving Park Ave, Newark, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Wade Jason Brandt graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1629070297
  • Provider Enumeration Date: 08/12/2005
  • Last Update Date: 10/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375642648
  • Enrollment ID: I20190405000224

Medical Identifiers

Medical identifiers for Dr Wade Jason Brandt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629070297NPI-NPPES
500704675MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R038406ANDCP000642 (South Dakota)Secondary
363LF0000XNurse Practitioner - Family 201802902NP-PP (Oregon)Secondary
363LF0000XNurse Practitioner - Family 344384 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grande Ronde HospitalLa grande, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grande Ronde Hospital Inc054717078974

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. Dr Wade Jason Brandt allows following entities to bill medicare on his behalf.
Entity NameGood Shepherd Health Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295789667
PECOS PAC ID: 9133033764
Enrollment ID: O20031118000046
Entity NameGrande Ronde Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467446195
PECOS PAC ID: 0547170789
Enrollment ID: O20031124000758
Entity NameSamaritan North Lincoln Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1306897491
PECOS PAC ID: 7911816301
Enrollment ID: O20061104000117

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. Dr Wade Jason Brandt 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
Dr Wade Jason Brandt, CNP
100 Kings Hwy S,
Rochester, NY 14617-5504

Ph: (315) 359-2123		Dr Wade Jason Brandt, CNP
1200 Driving Park Ave,
Newark, NY 14513

Ph: (315) 359-2123

Reviews and Comments


Nurse Practitioner Nurses in Newark, NY

Karen S. Roth, ANP-BC, ACHPN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1208 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2640    
Jennifer Lynn Torres,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2557    Fax: 315-462-2062
Paula Kay Dorn, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2130    Fax: 315-359-2139
Beverly J Provo, GNPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1208 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2640    
Mr. Craig Alan Weise, MS, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2133    Fax: 315-359-2139
Meggan Butler-o'hara, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2660    Fax: 315-359-2635
Shaynon Lee Austin, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Driving Park Ave, Newark, NY 14513
Phone: 315-359-2123    Fax: 315-359-2167

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.