Ms Theresa Bergen Wade, APRN - Nurse Practitioner in Captain Cook, HI

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Ms Theresa Bergen Wade, APRN is a Nurse Practitioner - Psychiatric/mental Health based in Captain Cook, Hawaii. Ms Theresa Bergen Wade is licensed to practice in Hawaii (license number APRN - 1950) and her current practice location is 83-5737 Kanele St, Captain Cook, Hawaii. She can be reached at her office (for appointments etc.) via phone at (808) 333-5977.

NPI number for Ms Theresa Bergen Wade is 1063497758 and her current mailing address is 83-5737 Kanele St, Captain Cook, Hawaii. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063497758.

Contact Information

Ms Theresa Bergen Wade, APRN
83-5737 Kanele St,
Captain Cook, HI 96704
(808) 333-5977
Not Available

Map and Direction




Provider's Profile

Full NameMs Theresa Bergen Wade
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location83-5737 Kanele St, Captain Cook, Hawaii
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063497758
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 01/23/2019

Medical Identifiers

Medical identifiers for Ms Theresa Bergen Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063497758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 7512 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN - 1950 (Hawaii)Primary
363L00000XNurse Practitioner 7512 (California)Secondary
363LF0000XNurse Practitioner - Family 509869 (California)Secondary
363LF0000XNurse Practitioner - Family 7512 (California)Secondary
363LF0000XNurse Practitioner - Family APRN - 1950 (Hawaii)Secondary

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. Ms Theresa Bergen Wade is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Theresa Bergen Wade, APRN
83-5737 Kanele St,
Captain Cook, HI 96704-8329

Ph: (808) 333-5977		Ms Theresa Bergen Wade, APRN
83-5737 Kanele St,
Captain Cook, HI 96704

Ph: (808) 333-5977

Reviews and Comments


Nurse Practitioner Nurses in Captain Cook, HI

Bianka L Lankford Leborio, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 83-5413 Mamalahoa Hwy, Captain Cook, HI 96704
Phone: 808-333-6199    

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.