Birute Wise, is a
Pediatrics physician based in Halfmoon, New York. Birute Wise is licensed to practice in New York (license number 220926) and her current practice location is 1783 Route 9, Suite 101, Halfmoon, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 371-5437.
NPI number for Birute Wise is 1437233376 and her current mailing address is 711 Troy Schenectady Rd, Suite 203, Latham, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437233376.
Physician's Profile
| Full Name | Birute Wise |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1783 Route 9, Halfmoon, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437233376
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 08/23/2016
Medical Identifiers
Medical identifiers for Birute Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437233376 | NPI | - | NPPES |
| 02164863 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 220926 (New York) | 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. Birute Wise 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 |
|---|
Birute Wise,
711 Troy Schenectady Rd, Suite 203,
Latham, NY 12110-2442
Ph: (518) 782-3700 | Birute Wise,
1783 Route 9, Suite 101,
Halfmoon, NY 12065-2409
Ph: (518) 371-5437 |
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