Justin G Wade, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

D0066569 Issued in MD

Practice address

29520 Canvasback Dr
Easton, MD 21601-7124

Phone

(410) 822-5007

Fax

(410) 822-5569

NPI assigned

Nov 1, 2006

Last updated

Aug 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Eastern Virginia Medical School, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Peace of Mind Mental Health Services LLCGroup PAC ID 6103047436, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Merit-based Incentive Payment System (MIPS)

Final score

85.26 of 100Reported as group

Quality

81.56

Promoting interoperability

100

Improvement activities

40

Cost

69.29

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwade483440@direct.umm.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peace of Mind Mental Health Services LLC

  • Psychiatry Physician
  • Easton, MD
  • NPI 1952715161
  Medicare reassignment Care Compare group NPD
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment Care Compare group NPD
• University of Maryland Community Medical Group, Inc.

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1679393854
  NPD
• Eastern Shore Psychological Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Salisbury, MD
  • NPI 1093074064
  NPD (past)
• Eastern Shore Psychological Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Easton, MD
  • NPI 1659630523
  NPD (past)
• Eastern Shore Psychological Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Princess Anne, MD
  • NPI 1801155601
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shore Health System, Inc

  dba UM Shore Medical Center at Dorchester

  • General Acute Care Hospital
  • Cambridge, MD
  • NPI 1194784751
  Care Compare affiliation
• Shore Health System, Inc

  • Clinical Medical Laboratory
  • Easton, MD
  • NPI 1477513273

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  dba UM Shore Medical Center at Easton

  • General Acute Care Hospital
  • Easton, MD
  • NPI 1669431219
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1467539676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 OCEAN GTWY",
            "address_2": "STE 4",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017217",
            "telephone_number": "410-690-8181",
            "fax_number": "410-690-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29520 CANVASBACK DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017124",
            "telephone_number": "410-822-5007",
            "fax_number": "410-822-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JUSTIN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0066569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS-FEDERAL",
            "identifier": "R968",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "346646",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "517251",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "522156095",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "LM49EA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "259147-000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550004",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Vogel, LGPC
• Jennette Lee Vonbargen, PSY.D
• Michelle Elise Voss, RN
• W James Downs Jr PT PA (Tidewater Electromyography)
• Farah Waddell, PT, DPT
• Fredia Stovall Wadley
• Lucinda Wakefield, PT
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1715)
• Walgreen Co (Walgreens #09967)
• Walgreen Co. (Walgreens #9967)

• Child & Adolescent Psychiatry Physician in Easton, MD
• Providers in Easton, MD by specialty
• Child & Adolescent Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.