JEROLD C WILDE DDS MS NPI 1588630099

Dentist (Periodontics) in Pasco, WA

NPI 1588630099 Individual Male Dentist Periodontics PECOS Enrolled

About JEROLD WILDE

Jerold Wilde is a provider established in Pasco, Washington and his medical specialization is dentist (periodontics) . The NPI number of Jerold Wilde is 1588630099 and was assigned on February 2006. The practitioner's primary taxonomy code is 1223P0300X with license number DE00009195 (WA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

A dentist like Jerold C Wilde Dds Ms is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Jerold Wilde is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Jerold Wilde is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1588630099

Provider Name JEROLD C WILDE DDS MS
Provider Location Address515 W COURT ST PASCO, WA 99301
Provider Mailing AddressPO BOX 1452 PASCO, WA 99301
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-24-2006
Last Update Date11-09-2011


Primary Taxonomy

Taxonomy Code1223P0300X
ClassificationDentist
TypeDental Providers
SpecializationPeriodontics
License No.DE00009195
License StateWA
Taxonomy DescriptionThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Business Address

JEROLD C WILDE DDS MS
515 W COURT ST
PASCO, WA
ZIP 99301
Phone: (509) 547-2204

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Mailing Address

JEROLD C WILDE DDS MS
PO BOX 1452
PASCO, WA
ZIP 99301
Phone: (509) 547-2204



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972575405 BRIAN LOMAN SCHUR DDS
Individual
Dentist (General Practice)515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1215900378MS. AZURE MARIE BUCKENBERGER RDH
Individual
Dental Hygienist515 W COURT ST CHC LA CLINICA
PASCO, WA 99301
(509) 547-2209
1356302228 CHRISTOPHER KERR DDS
Individual
Dentist (General Practice)515 W COURT ST
PASCO, WA 99301
(509) 547-2209
1730136797 THORNTON A ROBINSON MSN ARNP FNPC
Individual
Nurse Practitioner515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1912062217 MARION N BYRNE
Individual
Nutritionist515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1437214640 SUSAN LYNN HILL
Individual
Counselor515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1932264231 ANNE MAUGHAN
Individual
Counselor515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1902961204 REBECCA MARIE VAN PELT
Individual
Nutritionist515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1104982149 MONIQUE MARIE SOULIA
Individual
Registered Nurse (Case Management)515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1386796282 RAMONA CASTRO
Individual
Case Manager/Care Coordinator515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1730224528 ANDREA BARBARA MCCREADY RN
Individual
Registered Nurse515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1124222047 JOSIE LOPEZ CHW COM HEALTH WORKE
Individual
Case Manager/Care Coordinator515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1033313952 MARIA ISABEL MENDOZA
Individual
Case Manager/Care Coordinator515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1134323058 ALICIA MAGALLON
Individual
Case Manager/Care Coordinator515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1689878597 MARIA G MENDOZA ICM CHW
Individual
Case Manager/Care Coordinator515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1548464340 DENA JANINE BRUCE
Individual
Case Manager/Care Coordinator515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1265631204 ESTELLA GARCIA CHW
Individual
Case Manager/Care Coordinator515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1083813026 MOISES DOMINGUEZ CHW
Individual
Case Manager/Care Coordinator515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1215181854 JILL HENDERSON ALLUM RD, CD
Individual
Dietitian, Registered515 W COURT ST
PASCO, WA 99301
(509) 547-2204
1235378456 RANA Y HADDADIN DDS
Individual
Dentist515 W COURT ST
PASCO, WA 99301
(509) 547-2209

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.