Dr Kenneth Wiseman, DO | |
1216 E Hunting Park Ave, Philadelphia, PA 19124 | |
(215) 533-1333 | |
(215) 744-4324 |
Full Name | Dr Kenneth Wiseman |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 45 Years |
Location | 1216 E Hunting Park Ave, Philadelphia, Pennsylvania |
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 |
---|---|---|---|
1427083849 | NPI | - | NPPES |
0007031090001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS-004457-L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Complete Physician Services | 2062450943 | 3 |
Entity Name | Complete Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982659611 PECOS PAC ID: 2062450943 Enrollment ID: O20050421000036 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Wiseman, DO 1216 E Hunting Park Ave, Philadelphia, PA 19124 Ph: (215) 533-1333 | Dr Kenneth Wiseman, DO 1216 E Hunting Park Ave, Philadelphia, PA 19124 Ph: (215) 533-1333 |
Srikar Vegesna, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2118 Cottman Ave, Philadelphia, PA 19149 Phone: 215-342-3020 Fax: 215-342-3653 | |
Chelsea Tiffany Salas-tam, Family Medicine Medicare: Medicare Enrolled Practice Location: 861 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-302-3600 | |
Kunal Anandpara, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11000 Roosevelt Blvd, Philadelphia, PA 19116 Phone: 215-677-1475 Fax: 215-677-3082 | |
Joshua George, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-324-0600 Fax: 215-324-2795 | |
Meng-chao Lee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 Central Ave Ste 104, Philadelphia, PA 19111 Phone: 215-742-0712 Fax: 215-742-5218 | |
Carol Bowes-lawlor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 E Chestnut Hill Ave, Philadelphia, PA 19118 Phone: 215-753-9080 Fax: 215-753-8830 | |
Dr. Seung Hee Hong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 150, Philadelphia, PA 19134 Phone: 215-926-3535 Fax: 215-926-3536 |