Dr Colette H Wiseman, MD - Medicare Emergency Medicine in Santa Monica, CA

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Dr Colette H Wiseman, MD is a medicare enrolled "Emergency Medicine" physician in Santa Monica, California. Her current practice location is 1330 Stanford St Apt D, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 736-8999.

Dr Colette H Wiseman is licensed to practice in California (license number A106115) 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 1104027150.

Contact Information

Dr Colette H Wiseman, MD
1330 Stanford St Apt D,
Santa Monica, CA 90404-2543
(310) 736-8999
Not Available

Map and Direction




Physician's Profile

Full NameDr Colette H Wiseman
GenderFemale
SpecialityEmergency Medicine
Location1330 Stanford St Apt D, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104027150
  • Provider Enumeration Date: 05/29/2007
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284804550
  • Enrollment ID: I20110823000951

Medical Identifiers

Medical identifiers for Dr Colette H Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104027150NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A106115 (California)Secondary
207P00000XEmergency Medicine A106115 (California)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. Dr Colette H Wiseman allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NamePacifica Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053350975
PECOS PAC ID: 9436058971
Enrollment ID: O20040712001555
Entity NameSherman Oaks Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518904150
PECOS PAC ID: 1557377736
Enrollment ID: O20060224000406

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. Dr Colette H 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 AddressPractice Location Address
Dr Colette H Wiseman, MD
1330 Stanford St Apt D,
Santa Monica, CA 90404-2543

Ph: (310) 736-8999		Dr Colette H Wiseman, MD
1330 Stanford St Apt D,
Santa Monica, CA 90404-2543

Ph: (310) 736-8999

Reviews and Comments


Emergency Medicine Doctors in Santa Monica, CA

William Shyy, M.D.
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Edward S Cotner, MD
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Dr. Robert Lee Hook Iii, M.D.
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Ms. Rosemarie Bustos Diaz,
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Practice Location: 1250 16th St, Santa Monica, CA 90404
Phone: 310-794-7700    
Amy L Kijner, PA
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Practice Location: 1328 22nd St, Santa Monica, CA 90404
Phone: 310-582-7089    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.