Amelia Wise, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Fayetteville, North Carolina. Her current practice location is
1638 Owen Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 615-4000.
Amelia Wise is licensed to practice in * (Not Available) (license number ) 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 1275112286.
Physician's Profile
Full Name | Amelia Wise |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1638 Owen Dr, Fayetteville, North Carolina |
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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: 1275112286
- Provider Enumeration Date: 04/06/2021
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335541127
- Enrollment ID: I20210715004201
Medical Identifiers
Medical identifiers for Amelia Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275112286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 35.151002 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Amelia 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 |
Amelia Wise, MD 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-4000 | Amelia Wise, MD 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 615-4000 |
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