Dr Kathlyn Valleau Wilde, MD in Lewiston, ME - Medicare Pediatrics

Dr Kathlyn Valleau Wilde, MD is a medicare enrolled "Pediatrics" physician in Lewiston, Maine. Her current practice location is 33 Mollison Way, Lewiston, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 784-5784.

Dr Kathlyn Valleau Wilde is licensed to practice in Maine (license number MD25564) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164683967.

Contact Information

	Dr Kathlyn Valleau Wilde, MD
	33 Mollison Way, Lewiston, ME 04240-5805
	(207) 784-5784
	(207) 783-9268

Physician's Profile

Full Name	Dr Kathlyn Valleau Wilde
Gender	Female
Speciality	Pediatrics
Location	33 Mollison Way, Lewiston, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164683967
Provider Enumeration Date: 06/24/2008
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6709017551
Enrollment ID: I20140320001758

Medical Identifiers

Medical identifiers for Dr Kathlyn Valleau Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164683967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101261046 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	MD25564 (Maine)	Primary

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 Kathlyn Valleau Wilde 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 Address	Practice Location Address
Dr Kathlyn Valleau Wilde, MD 33 Mollison Way, Lewiston, ME 04240-5805 Ph: (207) 784-5784	Dr Kathlyn Valleau Wilde, MD 33 Mollison Way, Lewiston, ME 04240-5805 Ph: (207) 784-5784

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Pediatrics Doctors in Lewiston, ME

Gretchen A. Pianka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12 High St Ste 301, Lewiston, ME 04240 Phone: 207-795-5730 Fax: 207-795-5749
Stephanie Boggs, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-0111
Marly Leigh Biermann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Main St, Lewiston, ME 04240 Phone: 207-795-7575 Fax: 207-344-0350
Kathleen S Bain, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12 High St, Ste 301, Lewiston, ME 04240 Phone: 207-795-5730 Fax: 207-795-5749
Amy Belisle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12 High St, Suite 200, Lewiston, ME 04240 Phone: 207-795-0111
Mrs. Linda J Glass, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 33 Mollison Way, Lewiston, ME 04240 Phone: 207-784-5782 Fax: 207-786-5756

Dr Kathlyn Valleau Wilde, MD - Medicare Pediatrics in Lewiston, ME