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

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 Name	Abigail Claire Wild
Gender	Female
Speciality	Physical Therapist
Location	23415 Three Notch Rd Ste 2026, California, Maryland
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1639855075	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13171 (Minnesota)	Secondary
225100000X	Physical 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 Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Provider Name	Healtheast Outpatient Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI 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 Address	Practice 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

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