Mr Dixon J Wise, DMD in Laurel, MS - Medicare Dentist Provider

Mr Dixon J Wise, DMD is a medicare enrolled "Dentist" provider in Laurel, Mississippi. His current practice location is 117 S 11th Ave, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 425-3033.

Mr Dixon J Wise is licensed to practice in Mississippi (license number 10449) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265719959.

Contact Information

	Mr Dixon J Wise, DMD
	117 S 11th Ave, Laurel, MS 39440-4312
	(601) 425-3033
	(601) 422-0431

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Dixon J Wise
Gender	Male
Speciality	Dentist
Location	117 S 11th Ave, Laurel, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265719959
Provider Enumeration Date: 11/08/2011
Last Update Date: 02/08/2017

Medicare PECOS Information:

PECOS PAC ID: 6305011891
Enrollment ID: I20111212000670

Medical Identifiers

Medical identifiers for Mr Dixon J Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265719959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	10449 (Mississippi)	Primary

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. Mr Dixon J Wise allows following entities to bill medicare on his behalf.

Entity Name	Family Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488357 PECOS PAC ID: 9638163348 Enrollment ID: O20040414000267

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 Dixon J 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
Mr Dixon J Wise, DMD Po Box 4361, Laurel, MS 39441-4361 Ph: (601) 425-3033	Mr Dixon J Wise, DMD 117 S 11th Ave, Laurel, MS 39440-4312 Ph: (601) 425-3033

Reviews and Comments

Dentist in Laurel, MS

James A Bounds, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1010 N 15th Ave, Laurel, MS 39440 Phone: 601-649-3511
Dr. Jeffrey Stuart Leblanc, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1500 W 12th St, Laurel, MS 39440 Phone: 601-649-3471
Dr. Michael Moran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1508 W 10th St, Laurel, MS 39440 Phone: 601-428-6093
Douglas W. Tillery, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1508 W 10th St, Laurel, MS 39440 Phone: 601-428-6093 Fax: 601-428-6096
Dr. Stone Thames, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 1615 Old Amy Rd, Laurel, MS 39440 Phone: 601-649-2010 Fax: 601-649-0062
Dr. William Scott Martin, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1615 Old Amy Rd, Laurel, MS 39440 Phone: 601-649-2010
Dr. David Osburn Hughes Sr., DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 140 S 15th Ave, Laurel, MS 39440 Phone: 601-649-7800 Fax: 601-426-6558

Mr Dixon J Wise, DMD - Medicare Dentist in Laurel, MS