Mrs Susan Marie Wiseman, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Saint Marys, Ohio. Her current practice location is
200 Saint Clair Ave, Saint Marys, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 394-3335.
Mrs Susan Marie Wiseman is licensed to practice in Ohio (license number 4435) 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 1699094433.
Healthcare Provider's Profile
Full Name | Mrs Susan Marie Wiseman |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 200 Saint Clair Ave, Saint Marys, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699094433
- Provider Enumeration Date: 05/19/2010
- Last Update Date: 05/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 6608815006
- Enrollment ID: I20050426000539
Medical Identifiers
Medical identifiers for Mrs Susan Marie Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699094433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 4435 (Ohio) | 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 Susan Marie Wiseman allows following entities to bill medicare on her behalf.
Provider Name | Joint Township District Memorial Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1639133002 PECOS PAC ID: 3870491590 Enrollment ID: O20031219000416 |
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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 Susan Marie 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 Susan Marie Wiseman, RD, LD 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 394-3335 | Mrs Susan Marie Wiseman, RD, LD 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 394-3335 |
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