Dr Cheryl Annette Wise, PHD is a medicare enrolled "Psychologist" provider in Lander, Wyoming. She graduated from healthcare school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lander Medical Clinic Pc and her current practice location is
485 N 3rd St, Lander, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(215) 922-7748.
Dr Cheryl Annette Wise is licensed to practice in Wyoming (license number 551) 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 1316076656.
Healthcare Provider's Profile
| Full Name | Dr Cheryl Annette Wise |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 485 N 3rd St, Lander, Wyoming |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Cheryl Annette Wise graduated from medical school in 2006
NPI Data:
- NPI Number: 1316076656
- Provider Enumeration Date: 03/04/2007
- Last Update Date: 10/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 0648339564
- Enrollment ID: I20150227000015
Medical Identifiers
Medical identifiers for Dr Cheryl Annette Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316076656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | PC003901 (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | PS016308 (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | 551 (Wyoming) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lander Medical Clinic Pc | 1355323940 | 22 |
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. Dr Cheryl Annette Wise allows following entities to bill medicare on her behalf.
| Entity Name | Fremont Counseling Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003812694
PECOS PAC ID: 3476535105
Enrollment ID: O20040604000878 |
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| Entity Name | Lander Medical Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932299690
PECOS PAC ID: 1355323940
Enrollment ID: O20040607000680 |
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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. Dr Cheryl Annette Wise 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 |
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Dr Cheryl Annette Wise, PHD
485 N 3rd St,
Lander, WY 82520-2210
Ph: (215) 922-7748 | Dr Cheryl Annette Wise, PHD
485 N 3rd St,
Lander, WY 82520-2210
Ph: (215) 922-7748 |
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