Mrs Stacy Johnson Wiseman, RD, LDN in Rock Hill, SC - Medicare Dietitian, Registered Provider

Mrs Stacy Johnson Wiseman, RD, LDN is a medicare enrolled "Dietitian, Registered - Nutrition, Obesity And Weight Management" provider in Rock Hill, South Carolina. Her current practice location is 4007 Mt Gallant Rd, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 323-7505.

Mrs Stacy Johnson Wiseman is licensed to practice in South Carolina (license number 571) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295464402.

Contact Information

	Mrs Stacy Johnson Wiseman, RD, LDN
	4007 Mt Gallant Rd, Rock Hill, SC 29732-9635
	(803) 323-7505
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacy Johnson Wiseman
Gender	Female
Speciality	Dietitian, Registered - Nutrition, Obesity And Weight Management
Location	4007 Mt Gallant Rd, Rock Hill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295464402
Provider Enumeration Date: 06/06/2022
Last Update Date: 06/06/2022

Medicare PECOS Information:

PECOS PAC ID: 5496131518
Enrollment ID: I20220927002963

Medical Identifiers

Medical identifiers for Mrs Stacy Johnson Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295464402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1201X	Dietitian, Registered - Nutrition, Obesity And Weight Management	571 (South Carolina)	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. Mrs Stacy Johnson Wiseman allows following entities to bill medicare on her behalf.

Provider Name	Aspire Nutrition Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093315244 PECOS PAC ID: 6002214020 Enrollment ID: O20220111002586

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. Mrs Stacy Johnson Wiseman 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
Mrs Stacy Johnson Wiseman, RD, LDN 4007 Mt Gallant Rd, Rock Hill, SC 29732-9635 Ph: (803) 323-7505	Mrs Stacy Johnson Wiseman, RD, LDN 4007 Mt Gallant Rd, Rock Hill, SC 29732-9635 Ph: (803) 323-7505

Reviews and Comments

Dietitian, Registered in Rock Hill, SC

Mrs. Chivonne Hunter, M.S, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-329-6886
Mrs. Elizabeth A Weikle, M.S.,R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2138 Cavendale Dr, Rock Hill, SC 29732 Phone: 803-329-2640
Monique Idelette-louw Stafford, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1131 Saluda St, Rock Hill, SC 29730 Phone: 803-325-8742
Mrs. Shon Marie Calloway, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1518 Bellridge Rd, Rock Hill, SC 29732 Phone: 803-329-4582
Mary Katherine Powers, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 145, Rock Hill, SC 29732 Phone: 803-328-2401
Cassandra Zahara Rutherford, RD Dietitian Medicare: Medicare Enrolled Practice Location: 4468 Deer Run, Rock Hill, SC 29732 Phone: 217-691-5535
Lasinda Orr, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Lakeshore Pkwy, Rock Hill, SC 29730 Phone: 803-909-6363 Fax: 803-909-6364

Mrs Stacy Johnson Wiseman, RD, LDN - Medicare Dietitian in Rock Hill, SC