Mr Tony Fernando Wise, PASTOR is a
Behavior Analyst based in Oklahoma City, Oklahoma. Mr Tony Fernando Wise is licensed to practice in * (Not Available) (license number ) and his current practice location is
1201 Ne 68th St, Oklahoma City, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(405) 639-7561.
NPI number for Mr Tony Fernando Wise is 1265779920 and his current mailing address is 1201 Ne 68th St, Oklahoma City, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265779920.
Healthcare Provider's Profile
Full Name | Mr Tony Fernando Wise |
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Gender | Male |
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Speciality | Behavior Analyst |
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Location | 1201 Ne 68th St, Oklahoma City, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265779920
- Provider Enumeration Date: 01/14/2013
- Last Update Date: 01/14/2013
Medical Identifiers
Medical identifiers for Mr Tony Fernando Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265779920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | 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. Mr Tony Fernando 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 |
Mr Tony Fernando Wise, PASTOR 1201 Ne 68th St, Oklahoma City, OK 73111-7817 Ph: (405) 639-7561 | Mr Tony Fernando Wise, PASTOR 1201 Ne 68th St, Oklahoma City, OK 73111-7817 Ph: (405) 639-7561 |
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