Terri H Wildes, NP-C in Perry, GA - Medicare Nurse Practitioner

Terri H Wildes, NP-C is a medicare enrolled "Nurse Practitioner" in Perry, Georgia. Her current practice location is 400 Silo Cir, Perry, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 560-8181.

Terri H Wildes is licensed to practice in Georgia (license number RN076912) 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 1710388301.

Contact Information

	Terri H Wildes, NP-C
	400 Silo Cir, Perry, GA 31069-9832
	(229) 560-8181
	Not Available

Map and Direction

Provider's Profile

Full Name	Terri H Wildes
Gender	Female
Speciality	Nurse Practitioner
Location	400 Silo Cir, Perry, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710388301
Provider Enumeration Date: 09/15/2014
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 4284958547
Enrollment ID: I20150115002059

Medical Identifiers

Medical identifiers for Terri H Wildes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710388301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN076912 (Georgia)	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. Terri H Wildes allows following entities to bill medicare on her behalf.

Entity Name	Cole Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457612491 PECOS PAC ID: 7719143890 Enrollment ID: O20120717000438

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. Terri H Wildes 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
Terri H Wildes, NP-C 400 Silo Cir, Perry, GA 31069-9832 Ph: (229) 560-8181	Terri H Wildes, NP-C 400 Silo Cir, Perry, GA 31069-9832 Ph: (229) 560-8181

Reviews and Comments

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Carson Farrell Fay, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 277 Perry Pkwy Ste C, Perry, GA 31069 Phone: 478-988-6087 Fax: 478-988-6092
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Terri H Wildes, NP-C - Medicare Nurse Practitioner in Perry, GA