Bradley William Wise, | |
4545 E 9th Ave Ste 120, Denver, CO 80220-3902 | |
(303) 388-2922 | |
(303) 388-2962 |
Full Name | Bradley William Wise |
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Gender | Male |
Speciality | Surgery |
Location | 4545 E 9th Ave Ste 120, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679060818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | DR.0063626 (Colorado) | Primary |
Entity Name | Healthone Clinic Services - Bariatric Medicine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174856637 PECOS PAC ID: 2163564006 Enrollment ID: O20100115000217 |
Mailing Address | Practice Location Address |
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Bradley William Wise, 4545 E 9th Ave Ste 120, Denver, CO 80220-3902 Ph: (303) 388-2922 | Bradley William Wise, 4545 E 9th Ave Ste 120, Denver, CO 80220-3902 Ph: (303) 388-2922 |
Dr. Cassandra Alys Ligh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2045 N Franklin St, Denver, CO 80205 Phone: 303-338-4545 | |
Deborah K Davis-merritt, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1960 Ogden St Ste 400, Denver, CO 80218 Phone: 303-318-1510 Fax: 303-318-2481 | |
Walter B Vernon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 E 19th Ave Ste 4600, Denver, CO 80218 Phone: 303-952-2300 | |
Dr. Brad C Mcdowell, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2045 N Franklin St, Department Of Plastic Surgery, Denver, CO 80205 Phone: 303-338-4545 | |
Rebecca G Jiron, Surgery Medicare: Not Enrolled in Medicare Practice Location: 2045 Franklin St, Denver, CO 80205 Phone: 303-743-5855 | |
Jeffrey L Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Mc 0206, Denver, CO 80204 Phone: 303-436-6559 | |
Jeffery R Clark, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2005 Franklin St, Midtown 2 #300, Denver, CO 80205 Phone: 303-318-2250 Fax: 303-318-2252 |