Dr Dana Wiseman, MD | |
40 Mansfield Ave, Willimantic, CT 06226-2018 | |
(860) 450-7471 | |
(860) 450-0213 |
Full Name | Dr Dana Wiseman |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 44 Years |
Location | 40 Mansfield Ave, Willimantic, Connecticut |
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 |
---|---|---|---|
1811930795 | NPI | - | NPPES |
01002768CT06 | Other | CT | ANTHEM BLUE CROSS & BLUE |
722627 | Other | CT | CONNECTICARE ID |
HAP281 | Other | CT | OXFORD ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 29768 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Windham Community Memorial Hospital | Willimantic, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Generations Family Health Center Inc | 4880640630 | 41 |
Entity Name | Generations Family Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228905 PECOS PAC ID: 4880640630 Enrollment ID: O20050324000979 |
Mailing Address | Practice Location Address |
---|---|
Dr Dana Wiseman, MD 40 Mansfield Ave, Willimantic, CT 06226-2018 Ph: (860) 450-7471 | Dr Dana Wiseman, MD 40 Mansfield Ave, Willimantic, CT 06226-2018 Ph: (860) 450-7471 |
Morton Glasser, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213 | |
Carol Jean Annino, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213 | |
Amy Rose Benenson, MSPAS, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 289 Windham Rd, Willimantic, CT 06226 Phone: 860-343-0302 | |
Richard L Brody, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1315 Main St, Suite 2, Willimantic, CT 06226 Phone: 860-450-7471 | |
Ms. Kathryn Nelson, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 355 High Street, Willimantic, CT 06226 Phone: 860-465-2465 | |
Nestor Enrique Torres, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 Main St, Willimantic, CT 06226 Phone: 860-450-7471 |