Mrs Alexandra Taylor Wade, FNP in Manteca, CA

Mrs Alexandra Taylor Wade, FNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Manteca, California. Her current practice location is 250 Northgate Dr Ste 102, Manteca, California. You can reach out to her office (for appointments etc.) via phone at (209) 239-5299.

Mrs Alexandra Taylor Wade is licensed to practice in California (license number 95026359) 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 1902648207.

Contact Information

	Mrs Alexandra Taylor Wade, FNP
	250 Northgate Dr Ste 102, Manteca, CA 95336-3161
	(209) 239-5299
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Alexandra Taylor Wade
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	250 Northgate Dr Ste 102, Manteca, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902648207
Provider Enumeration Date: 06/10/2024
Last Update Date: 06/10/2024

Medicare PECOS Information:

PECOS PAC ID: 5395279251
Enrollment ID: I20241114001885

Medical Identifiers

Medical identifiers for Mrs Alexandra Taylor Wade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902648207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95026359 (California)	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 Alexandra Taylor Wade allows following entities to bill medicare on her behalf.

Entity Name	Golden Valley Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641

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 Alexandra Taylor 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
Mrs Alexandra Taylor Wade, FNP 2399 58th St, Sacramento, CA 95817-1724 Ph: (209) 201-1883	Mrs Alexandra Taylor Wade, FNP 250 Northgate Dr Ste 102, Manteca, CA 95336-3161 Ph: (209) 239-5299

Reviews and Comments

Nurse Practitioner Nurses in Manteca, CA

Renee Jeanne Lee, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E North St, Suite 102, Manteca, CA 95336 Phone: 209-824-2202 Fax: 209-824-2205
Dennis Neal Mendoza Dimen, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 206 Pierre Dr, Manteca, CA 95337 Phone: 510-754-0965
Kuljeet Kaur Kaberwal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 E Yosemite Ave Ste 2, Manteca, CA 95336 Phone: 209-239-2528
Mandeep Bains, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2370 Clairette Pl, Manteca, CA 95337 Phone: 559-776-9800
Naveet Johal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 N Main St Ste 1a, Manteca, CA 95336 Phone: 510-552-9771
Geeta Shankar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Cottage Ave,, Ste. 103, Manteca, CA 95336 Phone: 209-624-5800 Fax: 209-624-5801
Prabhjot Kaur Khosa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2148 Antinori Way, Manteca, CA 95337 Phone: 209-607-0245

Mrs Alexandra Taylor Wade, FNP - Medicare Nurse Practitioner in Manteca, CA