Brian Keith Wise, MD | |
6053 S Quebec St Ste 203, Centennial, CO 80111-4505 | |
(720) 708-4287 | |
(720) 815-2581 |
Full Name | Brian Keith Wise |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 24 Years |
Location | 6053 S Quebec St Ste 203, Centennial, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043211683 | NPI | - | NPPES |
C811544 | Other | CO | MEDICARE PTAN |
1043211683 | Other | CO | NPI NUMBER |
70583072 | Medicaid | CO | |
C802299 | Other | CO | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 41287 (Colorado) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 41287 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wise Psychiatry Pc | 2668709726 | 2 |
Lighthouse Complex Care Ltd | 4789911546 | 2 |
Entity Name | National Jewish Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326015777 PECOS PAC ID: 4587577028 Enrollment ID: O20031110000757 |
Entity Name | Wise Psychiatry Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548552656 PECOS PAC ID: 2668709726 Enrollment ID: O20190812003671 |
Entity Name | Lighthouse Complex Care Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134781057 PECOS PAC ID: 4789911546 Enrollment ID: O20190816001244 |
Mailing Address | Practice Location Address |
---|---|
Brian Keith Wise, MD 6053 S Quebec St Ste 203, Centennial, CO 80111-4505 Ph: (720) 708-4287 | Brian Keith Wise, MD 6053 S Quebec St Ste 203, Centennial, CO 80111-4505 Ph: (720) 708-4287 |
Dr. Kristen Donohue Graesser, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7180 E Orchard Rd, Ste 202, Centennial, CO 80111 Phone: 303-771-0107 Fax: 303-991-5961 | |
Dr. Thomas Winstanley Vertrees, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7500 E Arapahoe Rd Ste 360, Centennial, CO 80112 Phone: 720-630-1374 Fax: 720-302-2044 | |
Ronald S. Murray, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6801 S. Yosemite St., Centennial, CO 80112 Phone: 303-525-8981 Fax: 303-706-9029 | |
Dr. Richard Gamuac, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6801 S Yosemite St Ste 402, Centennial, CO 80112 Phone: 303-773-9000 Fax: 303-770-1449 | |
Mr. Donald Richard Jacobs, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6075 So Quebec, Ste 203, Centennial, CO 80111 Phone: 303-796-9232 Fax: 303-796-0324 | |
Dr. Dharmaja Raviendran, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8120 S Holly, #112, Centennial, CO 80122 Phone: 303-777-2220 Fax: 303-777-1221 |