Jacob Wade, NP in Lafayette, IN - Medicare Nurse Practitioner

Jacob Wade, NP is a medicare enrolled "Nurse Practitioner - Family" in Lafayette, Indiana. His current practice location is 2600 Greenbush St, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 448-8000.

Jacob Wade is licensed to practice in Indiana (license number 71015663A) 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 1629856190.

Contact Information

	Jacob Wade, NP
	2600 Greenbush St, Lafayette, IN 47904-2479
	(765) 448-8000
	(765) 447-9749

Map and Direction

Provider's Profile

Full Name	Jacob Wade
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2600 Greenbush St, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629856190
Provider Enumeration Date: 09/18/2023
Last Update Date: 01/01/2025

Medicare PECOS Information:

PECOS PAC ID: 6901337807
Enrollment ID: I20241002003437

Medical Identifiers

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

Identifier	Type	State	Issuer
1629856190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	28259521A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71015663A (Indiana)	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 Wade allows following entities to bill medicare on his behalf.

Entity Name	Arnett Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119

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 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 Wade, NP 3907 Alex Ct, Lafayette, IN 47905-7746 Ph: (765) 250-7779	Jacob Wade, NP 2600 Greenbush St, Lafayette, IN 47904-2479 Ph: (765) 448-8000

Reviews and Comments

Nurse Practitioner Nurses in Lafayette, IN

Abigail Ann Crum, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000
Kimbra Weesner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tippecanoe St, Lafayette, IN 47904 Phone: 765-423-6400
Mrs. Cecilia Ann Winkler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 State Road 38 E, Lafayette, IN 47905 Phone: 765-449-6790 Fax: 765-772-7113
Harmony Stine, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 355, Lafayette, IN 47905 Phone: 765-807-7988 Fax: 765-807-7989
Monica Michele Roadruck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3218 Daugherty Dr Ste 140, Lafayette, IN 47909 Phone: 765-502-4190 Fax: 765-502-4191
Julie J Debord, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Venice Michele Jarrett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8100

Jacob Wade, NP - Medicare Nurse Practitioner in Lafayette, IN