Lee Rose Wilde, - Medicare Obstetrics/gynecology in Tuba City, AZ

Lee Rose Wilde, is a medicare enrolled "Obstetrics & Gynecology" physician in Tuba City, Arizona. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Tuba City Regional Health Care Corporation and her current practice location is 167 North Main St, Tuba City, Arizona. You can reach out to her office (for appointments etc.) via phone at (866) 976-5940.

Lee Rose Wilde is licensed to practice in Arizona (license number 00821) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700101060.

Contact Information

Lee Rose Wilde,
167 North Main St,
Tuba City, AZ 86045
(866) 976-5940
Not Available



Physician's Profile

Full NameLee Rose Wilde
GenderFemale
SpecialityObstetrics/gynecology
Experience14 Years
Location167 North Main St, Tuba City, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lee Rose Wilde graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1700101060
  • Provider Enumeration Date: 03/30/2010
  • Last Update Date: 09/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052554847
  • Enrollment ID: I20141002001974

Medical Identifiers

Medical identifiers for Lee Rose Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700101060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 00821 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tuba City Regional Health Care Corporation4284542531124

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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. Lee Rose Wilde allows following entities to bill medicare on her behalf.
Entity NameTuba City Regional Health Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548294424
PECOS PAC ID: 4284542531
Enrollment ID: O20031105000107

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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. Lee Rose 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 AddressPractice Location Address
Lee Rose Wilde,
4890 E Snowshoe Way,
Flagstaff, AZ 86004-2832

Ph: (928) 707-9875
Lee Rose Wilde,
167 North Main St,
Tuba City, AZ 86045

Ph: (866) 976-5940

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Obstetrics & Gynecology Doctors in Tuba City, AZ

Jennifer J Whitehair, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677
Amanda Leib, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677
Kathleen A Harner, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677
James Scott Deasy, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677
Holly V. Alfrey-van Dyk, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677
Kathy A Deasy, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 167 North Main Street, Tuba City, AZ 86045
Phone: 928-283-2501    Fax: 928-283-2677

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