Kolby Wade, CNM - Medicare Certified Nurse Midwife (cnm) in Roseburg, OR

Kolby Wade, CNM is a medicare enrolled "Advanced Practice Midwife" in Roseburg, Oregon. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). He is a member of the group practice Centennial Medical Group East Llc and his current practice location is 1937 W Harvard Ave, Roseburg, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 677-7200.

Kolby Wade is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407517931.

Contact Information

Kolby Wade, CNM
1937 W Harvard Ave,
Roseburg, OR 97471-2720
(541) 677-7200
(541) 229-3309



Provider's Profile

Full NameKolby Wade
GenderMale
SpecialityCertified Nurse Midwife (cnm)
Experience3 Years
Location1937 W Harvard Ave, Roseburg, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kolby Wade graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1407517931
  • Provider Enumeration Date: 01/06/2022
  • Last Update Date: 01/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951795160
  • Enrollment ID: I20220304001453

Medical Identifiers

Medical identifiers for Kolby Wade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407517931NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterRoseburg, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centennial Medical Group East Llc923439787853

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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. Kolby Wade allows following entities to bill medicare on his behalf.
Entity NameCentennial Medical Group East Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134436637
PECOS PAC ID: 9234397878
Enrollment ID: O20120228000510

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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. Kolby Wade 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
Kolby Wade, CNM
2570 Nw Edenbower Blvd Ste 100,
Roseburg, OR 97471-6214

Ph: (541) 677-7200
Kolby Wade, CNM
1937 W Harvard Ave,
Roseburg, OR 97471-2720

Ph: (541) 677-7200

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Advanced Practice Midwife Nurses in Roseburg, OR

Ms. Karen Ann Beesley, CNM, NP
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 2993 Ne Douglas Ave, Roseburg, OR 97470
Phone: 541-229-0232    
Sarah A. Paeth, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1937 W. Harvard Ave., Roseburg, OR 97471
Phone: 541-677-7200    Fax: 541-229-3309
Kathryn Lechner, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2460 Nw Stewart Pkwy Ste 240, Roseburg, OR 97471
Phone: 541-677-4427    
Stacie L. Hanna, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1937 W Harvard Ave, Roseburg, OR 97471
Phone: 541-677-7200    Fax: 541-229-3309
Stephanie Kendall Wiley, NMNP LAC
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 621 W Madrone St, Roseburg, OR 97470
Phone: 541-957-3700    Fax: 541-440-3589

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