Dr Gregory S Wisdom, MD is a medicare enrolled "Otolaryngology" physician in Katonah, New York. He went to Tulane University School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Optum Medical Care Pc and his current practice location is
111 Bedford Rd, Caremount Medical, Pc, Katonah, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 241-1050.
Dr Gregory S Wisdom is licensed to practice in New York (license number 201012) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184624371.
Physician's Profile
| Full Name | Dr Gregory S Wisdom |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 32 Years |
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| Location | 111 Bedford Rd, Katonah, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Gregory S Wisdom attended and graduated from Tulane University School Of Medicine in 1992
NPI Data:
- NPI Number: 1184624371
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 10/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 1951343862
- Enrollment ID: I20070915000124
Medical Identifiers
Medical identifiers for Dr Gregory S Wisdom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184624371 | NPI | - | NPPES |
| 01873656 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 201012 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Optum Medical Care Pc | 9931013240 | 961 |
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 Gregory S Wisdom allows following entities to bill medicare on his behalf.
| Entity Name | Optum Medical Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321 |
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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 Gregory S Wisdom 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 Address | Practice Location Address |
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Dr Gregory S Wisdom, MD
110 N Bedford Rd, Caremount Medical, Pc,
Mount Kisco, NY 10549
Ph: (914) 241-1050 | Dr Gregory S Wisdom, MD
111 Bedford Rd, Caremount Medical, Pc,
Katonah, NY 10536-2115
Ph: (914) 241-1050 |
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