Dr Tracey Wise, is a
Counselor - Mental Health based in Pepeekeo, Hawaii. Dr Tracey Wise is licensed to practice in Hawaii (license number MHC-253) and her current practice location is
28-2890 Kapehu Place, Pepeekeo, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 895-2593.
NPI number for Dr Tracey Wise is 1992421705 and her current mailing address is Po Box 1022, Pepeekeo, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992421705.
Healthcare Provider's Profile
Full Name | Dr Tracey Wise |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 28-2890 Kapehu Place, Pepeekeo, Hawaii |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992421705
- Provider Enumeration Date: 10/13/2022
- Last Update Date: 10/13/2022
Medical Identifiers
Medical identifiers for Dr Tracey Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992421705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1414-08 (Hawaii) | Secondary |
101YM0800X | Counselor - Mental Health | MHC-253 (Hawaii) | 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 Tracey 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 Tracey Wise, Po Box 1022, Pepeekeo, HI 96783-1022 Ph: (808) 895-2593 | Dr Tracey Wise, 28-2890 Kapehu Place, Pepeekeo, HI 96783 Ph: (808) 895-2593 |
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