Abigail Claire Wild, DPT - Medicare Physical Therapist in California, MD

Abigail Claire Wild, DPT is a medicare enrolled "Physical Therapist" provider in California, Maryland. Her current practice location is 23415 Three Notch Rd Ste 2026, California, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 530-8188.

Abigail Claire Wild is licensed to practice in Maryland (license number 30282) 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 1639855075.

Contact Information

Abigail Claire Wild, DPT
23415 Three Notch Rd Ste 2026,
California, MD 20619-4021
(240) 530-8188
(240) 237-8572

Map and Direction




Healthcare Provider's Profile

Full NameAbigail Claire Wild
GenderFemale
SpecialityPhysical Therapist
Location23415 Three Notch Rd Ste 2026, California, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639855075
  • Provider Enumeration Date: 06/22/2023
  • Last Update Date: 02/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3072972876
  • Enrollment ID: I20230711001239

Medical Identifiers

Medical identifiers for Abigail Claire Wild such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639855075NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 13171 (Minnesota)Secondary
225100000XPhysical Therapist 30282 (Maryland)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. Abigail Claire Wild allows following entities to bill medicare on her behalf.
Provider NameFairview Express Care
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Provider NameHealtheast Outpatient Services Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1225382526
PECOS PAC ID: 0941447304
Enrollment ID: O20130503000040

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. Abigail Claire Wild 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 AddressPractice Location Address
Abigail Claire Wild, DPT
2635 4th St Se Apt 1110,
Minneapolis, MN 55414-3869

Ph: (434) 249-8823
Abigail Claire Wild, DPT
23415 Three Notch Rd Ste 2026,
California, MD 20619-4021

Ph: (240) 530-8188

Reviews and Comments


Physical Therapist in California, MD

Mrs. Carolyn Marie Selby, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 22593 Three Notch Rd, California, MD 20619
Phone: 301-862-2505    
Danielle Luray Taylor, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 23415 Three Notch Rd Ste 2026, California, MD 20619
Phone: 240-530-8188    Fax: 240-237-8572
Philip Joseph Hane, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 23415 Three Notch Rd Ste 2026, California, MD 20619
Phone: 240-530-8188    Fax: 240-237-8572
Martin Zenthoefer,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 22593 Three Notch Rd, California, MD 20619
Phone: 301-862-2505    
Jillian Jenell Certo, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 23123 Camden Way, California, MD 20619
Phone: 301-862-5177    
Mrs. Meghan Okoniewski Haus, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 23123 Camden Way, California, MD 20619
Phone: 301-862-5177    Fax: 301-862-4959

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.