Dr Shelley D Wise, DC is a
Counselor - Addiction (substance Use Disorder) based in Carmel, California. Dr Shelley D Wise is licensed to practice in California (license number R1318520818) and her current practice location is
245 Crossroads Blvd, Carmel, California. She can be reached at her office (for appointments etc.) via phone at
(831) 373-0985.
NPI number for Dr Shelley D Wise is 1578566451 and her current mailing address is 245 Crossroads Blvd, Carmel, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578566451.
Healthcare Provider's Profile
| Full Name | Dr Shelley D Wise |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 245 Crossroads Blvd, Carmel, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1578566451
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 09/10/2018
Medical Identifiers
Medical identifiers for Dr Shelley D Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578566451 | NPI | - | NPPES |
| 7703084230006 | Other | CA | CIGNA |
| DC0204430 | Other | CA | BLUE SHIELD |
| 770308423 | Other | CA | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC20443 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1318520818 (California) | 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 Shelley D Wise is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Shelley D Wise, DC
245 Crossroads Blvd,
Carmel, CA 93923-8650
Ph: (831) 373-0985 | Dr Shelley D Wise, DC
245 Crossroads Blvd,
Carmel, CA 93923-8650
Ph: (831) 373-0985 |
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