NPIMap

Jeffrey Wilde MD PLLC

A Medicare group practice based in Sierra Vista, AZ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6901138049), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901138049The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
2
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20191023000751 AZ Part B Supplier - Clinic/Group Practice 1518515683
O20251016003056 AZ Part A Provider - Rural Health Clinic 1467335737

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (7).

Sources for this page