Wisdom Baidoo Addae, PA-C
Individual provider Active NPI Physician Assistant · Schenectady, NY
NPI 1083282933 · NPPES record last updated Jun 16, 2021
Key facts
- NPI
- 1083282933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1101 Nott St
Schenectady, NY 12308-2489 - Phone
- (518) 243-4000
- NPI assigned
- Jun 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Island Emergency Medical Services PC
Wellnow Urgent Care, P.C.
Practice addresses (Care Compare)
103 Sitterly Rd
Halfmoon, NY 12065-5612
Phone (518) 579-2800
11 Moriah Rd
Unit 102
Glenmont, NY 12077-2981
Phone (518) 626-8665
1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4121
1438 Western Ave
Albany, NY 12203-3421
Phone (518) 649-9986
445 Balltown Rd
Suite 1
Schenectady, NY 12304-2269
Phone (518) 387-3566
446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496
573 N Greenbush Rd
Rensselaer, NY 12144-9451
Phone (518) 268-2345
7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210730001847 | NY | Practitioner - Physician Assistant | 1355744103 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026725 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Hospital | Current |
Accepting new patients |
Locations
103 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 579-2700
200 Harborside Dr
Schenectady, NY 12305
Phone (518) 881-4470
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | NY | Yes |
Addresses
Primary practice location
1101 Nott St
Schenectady, NY 12308-2489
Mailing address
3 Century Dr
Parsippany, NJ 07054-4610
Phone (215) 384-7432
Other providers in Schenectady, NY
- Aiyana Jasmine Adams
- Jamie Adams
- Morgan Glenn Adams
- Steven Adams
- Tammy S Adamson
- Adio Chiropractic, PLLC
- Karl P Adler Jr.
- Asif Afridi
- Pamela V. Agan-Smith
- Agnes O
All providers in Schenectady, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.