Makenna Rae Wilder, PA-C is a medicare enrolled "Physician Assistant" in Harlan, Kentucky. She went to Lincoln Memorial University Medical Department and graduated in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Appalachian Regional Healthcare Inc and her current practice location is
37 Ball Park Rd, Harlan, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 573-4520.
Makenna Rae Wilder is licensed to practice in * (Not Available) (license number ) 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 1588537112.
Provider's Profile
| Full Name | Makenna Rae Wilder |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 37 Ball Park Rd, Harlan, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Makenna Rae Wilder attended and graduated from Lincoln Memorial University Medical Department in 2025
NPI Data:
- NPI Number: 1588537112
- Provider Enumeration Date: 09/29/2025
- Last Update Date: 08/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 6608352075
- Enrollment ID: I20260115002497
Medical Identifiers
Medical identifiers for Makenna Rae Wilder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588537112 | NPI | - | NPPES |
| 7101122590 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Appalachian Regional Healthcare Inc | 0840107835 | 301 |
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. Makenna Rae Wilder allows following entities to bill medicare on her behalf.
| Entity Name | Appalachian Regional Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417045998
PECOS PAC ID: 0840107835
Enrollment ID: O20031125000520 |
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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. Makenna Rae Wilder 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 |
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Makenna Rae Wilder, PA-C
37 Ball Park Rd,
Harlan, KY 40831-1701
Ph: (606) 573-4520 | Makenna Rae Wilder, PA-C
37 Ball Park Rd,
Harlan, KY 40831-1701
Ph: (606) 573-4520 |
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