Dr Wade Allan Jespersen, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Queen Creek, Arizona. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Onesource Senior Healthcare Pllc, Gila River Health Care Corporation and his current practice location is
19350 E Silver Creek Ln, Queen Creek, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 718-5400.
Dr Wade Allan Jespersen is licensed to practice in Arizona (license number 0843) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174964654.
Healthcare Provider's Profile
| Full Name | Dr Wade Allan Jespersen |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 11 Years |
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| Location | 19350 E Silver Creek Ln, Queen Creek, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Wade Allan Jespersen graduated from medical school in 2013
NPI Data:
- NPI Number: 1174964654
- Provider Enumeration Date: 07/11/2013
- Last Update Date: 05/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 9739499732
- Enrollment ID: I20160706000973
Medical Identifiers
Medical identifiers for Dr Wade Allan Jespersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174964654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006516 (Pennsylvania) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0843 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Onesource Senior Healthcare Pllc | 6901026988 | 12 |
| Gila River Health Care Corporation | 0648174185 | 173 |
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. Dr Wade Allan Jespersen allows following entities to bill medicare on his behalf.
| Provider Name | Onesource Senior Healthcare Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508272188
PECOS PAC ID: 6901026988
Enrollment ID: O20140926000777 |
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| Provider Name | Integrated Healthcare Mobile Solutions, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1255749982
PECOS PAC ID: 6406076504
Enrollment ID: O20141010002190 |
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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. Dr Wade Allan Jespersen 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 |
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Dr Wade Allan Jespersen, DPM
14050 N 83rd Ave, Ste 290,
Peoria, AZ 85381-5650
Ph: (888) 495-4489 | Dr Wade Allan Jespersen, DPM
19350 E Silver Creek Ln,
Queen Creek, AZ 85142-9064
Ph: (480) 718-5400 |
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