Dr Adrian Kenneth Wyllie, MD - Medicare General Practice in Wallingford, CT

Dr Adrian Kenneth Wyllie, MD is a medicare enrolled "General Practice" physician in Wallingford, Connecticut. His current practice location is 4 Research Pkwy, Wallingford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 598-6045.

Dr Adrian Kenneth Wyllie is licensed to practice in Connecticut (license number 56766) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407234685.

Contact Information

Dr Adrian Kenneth Wyllie, MD
4 Research Pkwy,
Wallingford, CT 06492-1929
(203) 598-6045
(203) 879-0834



Physician's Profile

Full NameDr Adrian Kenneth Wyllie
GenderMale
SpecialityGeneral Practice
Location4 Research Pkwy, Wallingford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407234685
  • Provider Enumeration Date: 05/08/2015
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719291525
  • Enrollment ID: I20170810001282

Medical Identifiers

Medical identifiers for Dr Adrian Kenneth Wyllie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407234685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 56766 (Connecticut)Primary

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 Adrian Kenneth Wyllie allows following entities to bill medicare on his behalf.
Entity NameWound Surgeons Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982916151
PECOS PAC ID: 5890829451
Enrollment ID: O20100818000178

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Entity NameComplete Wound Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033801568
PECOS PAC ID: 8729445580
Enrollment ID: O20230609000583

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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 Adrian Kenneth Wyllie 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 AddressPractice Location Address
Dr Adrian Kenneth Wyllie, MD
4 Research Pkwy,
Wallingford, CT 06492-1929

Ph: (203) 598-6045
Dr Adrian Kenneth Wyllie, MD
4 Research Pkwy,
Wallingford, CT 06492-1929

Ph: (203) 598-6045

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General Practice Doctors in Wallingford, CT


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