Jacob Daniel Wade, in Shreveport, LA - Medicare Nurse Practitioner

Jacob Daniel Wade, is a medicare enrolled "Nurse Practitioner - Acute Care" in Shreveport, Louisiana. His current practice location is 2600 Greenwood Rd, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 212-4000.

Jacob Daniel Wade is licensed to practice in Louisiana (license number 231241) 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 1609559244.

Contact Information

	Jacob Daniel Wade,
	2600 Greenwood Rd, Shreveport, LA 71103-3908
	(318) 212-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Daniel Wade
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	2600 Greenwood Rd, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609559244
Provider Enumeration Date: 08/10/2023
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0648628826
Enrollment ID: I20231128003774

Medical Identifiers

Medical identifiers for Jacob Daniel Wade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609559244	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	231241 (Louisiana)	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. Jacob Daniel Wade allows following entities to bill medicare on his behalf.

Entity Name	Wk North Pulmonary & Critical Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265529648 PECOS PAC ID: 1759382856 Enrollment ID: O20070116000196

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. Jacob Daniel Wade 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
Jacob Daniel Wade, 550 Daley, Princeton, LA 71067-9111 Ph: (318) 268-5341	Jacob Daniel Wade, 2600 Greenwood Rd, Shreveport, LA 71103-3908 Ph: (318) 212-4000

Reviews and Comments

Nurse Practitioner Nurses in Shreveport, LA

Lasonya Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7840 Jewella Ave, Shreveport, LA 71108 Phone: 318-401-1432 Fax: 318-562-3889
James E Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Avenue, Ste 200, Shreveport, LA 71101 Phone: 318-629-5555 Fax: 318-629-5556
Tamara J Trainer, RN, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Fairfield Room 551, Dhh-office Of Public Health, Shreveport, LA 71101 Phone: 318-676-7470
Ms. Shannon Renee Gully, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411
Alana O Bragg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-5379 Fax: 318-675-4671
Pamela B. Simmons, PHD, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Olive St, Shreveport, LA 71104 Phone: 318-470-6194
Barbara Lynn Bruner, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000

Jacob Daniel Wade, - Medicare Nurse Practitioner in Shreveport, LA