Daniel Thomas Wise, DC | |
14307 Jarrettsville Pike, Phoenix, MD 21131-1763 | |
(410) 592-7300 | |
(410) 666-0348 |
Full Name | Daniel Thomas Wise |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 38 Years |
Location | 14307 Jarrettsville Pike, Phoenix, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700903390 | NPI | - | NPPES |
192539 | Other | MD | COVENTRY HEALTH INSURANCE |
LY34 | Other | MD | CAREFIRST-BLUE CROSS |
R130 | Other | MD | FEDERAL-CAREFIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | C004959 (Maryland) | Primary |
Provider Name | Jcc Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649448374 PECOS PAC ID: 1456581669 Enrollment ID: O20140310001725 |
Mailing Address | Practice Location Address |
---|---|
Daniel Thomas Wise, DC Po Box 38, 14307 Jarrettsville Pike, Phoenix, MD 21131-0038 Ph: (410) 592-7300 | Daniel Thomas Wise, DC 14307 Jarrettsville Pike, Phoenix, MD 21131-1763 Ph: (410) 592-7300 |
Dr. Maria Yiassemides, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3421 Sweet Air Rd, Suite 5, Phoenix, MD 21131 Phone: 410-628-0010 Fax: 410-628-4837 | |
Jacksonville Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 14307 Jarrettsville Pike, Phoenix, MD 21131 Phone: 410-592-7300 Fax: 410-666-0348 | |
Dr. Maria Yiassemides, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 3421 Sweet Air Rd, Suite 5, Phoenix, MD 21131 Phone: 410-628-0010 Fax: 410-628-4837 |