Mary E Wiseman, CDCA, SWA is a
Community Health Worker based in Lancaster, Ohio. Mary E Wiseman is licensed to practice in * (Not Available) (license number ) and her current practice location is
111 S Broad St Ste 209, Lancaster, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 260-8300.
NPI number for Mary E Wiseman is 1013611581 and her current mailing address is 434 Eastland Rd, Berea, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013611581.
Healthcare Provider's Profile
| Full Name | Mary E Wiseman |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 111 S Broad St Ste 209, Lancaster, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013611581
- Provider Enumeration Date: 03/29/2023
- Last Update Date: 08/28/2024
Medical Identifiers
Medical identifiers for Mary E Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013611581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 188413 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Mary E Wiseman 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 |
|---|
Mary E Wiseman, CDCA, SWA
434 Eastland Rd,
Berea, OH 44017-1217
Ph: (440) 260-8300 | Mary E Wiseman, CDCA, SWA
111 S Broad St Ste 209,
Lancaster, OH 43130-4383
Ph: (440) 260-8300 |
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