Dr Matthew Evert Wiisanen, MD in Chattanooga, TN - Medicare Interventional Cardiology

Dr Matthew Evert Wiisanen, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Chattanooga, Tennessee. He went to University Of Minnesota Medical School and graduated in 2005 and has 19 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Centennial Heart Llc and his current practice location is 2205 Mccallie Ave, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 508-6733.

Dr Matthew Evert Wiisanen is licensed to practice in Tennessee (license number 54571) 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 1215945001.

Contact Information

	Dr Matthew Evert Wiisanen, MD
	2205 Mccallie Ave, Chattanooga, TN 37404-3230
	(423) 508-6733
	(423) 508-6744

Map and Direction

Physician's Profile

Full Name	Dr Matthew Evert Wiisanen
Gender	Male
Speciality	Interventional Cardiology
Experience	19 Years
Location	2205 Mccallie Ave, Chattanooga, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Matthew Evert Wiisanen attended and graduated from University Of Minnesota Medical School in 2005

NPI Data:

NPI Number: 1215945001
Provider Enumeration Date: 08/04/2006
Last Update Date: 01/31/2022

Medicare PECOS Information:

PECOS PAC ID: 8729083936
Enrollment ID: I20160831002236

Medical Identifiers

Medical identifiers for Dr Matthew Evert Wiisanen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215945001	NPI	-	NPPES
176925100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	12800 (North Dakota)	Secondary
207R00000X	Internal Medicine	42001 (Kentucky)	Secondary
207R00000X	Internal Medicine	54571 (Tennessee)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	12800 (North Dakota)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	54571 (Tennessee)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	12800 (North Dakota)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	54571 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkridge Medical Center	Chattanooga, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centennial Heart Llc	9931204237	105

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 Matthew Evert Wiisanen allows following entities to bill medicare on his behalf.

Entity Name	Centennial Heart Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245393057 PECOS PAC ID: 9931204237 Enrollment ID: O20070416000188

Entity Name	Parkridge Medical Center, Inc.
Entity Type	Part B Supplier - Intensive Cardiac Rehabilitation
Entity Identifiers	NPI Number: 1104874684 PECOS PAC ID: 0547161507 Enrollment ID: O20211015000410

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 Matthew Evert Wiisanen 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
Dr Matthew Evert Wiisanen, MD 2205 Mccallie Ave, Chattanooga, TN 37404-3230 Ph: (423) 508-6733	Dr Matthew Evert Wiisanen, MD 2205 Mccallie Ave, Chattanooga, TN 37404-3230 Ph: (423) 508-6733

Reviews and Comments

Internal Medicine Doctors in Chattanooga, TN

Bradley Rayford Keel, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1067 Riverfront Pkwy Ste 201, Chattanooga, TN 37402 Phone: 423-888-5930 Fax: 423-634-0103
Dr. Pamela Rani Sud, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Glenwood Drive, Suite E-500, Chattanooga, TN 37404 Phone: 423-495-2635 Fax: 423-495-2638
David Shved, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-5179 Fax: 423-778-2108
Dr. Charles Robert Bosshardt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2515 Desales Ave Ste 206, Chattanooga, TN 37404 Phone: 423-698-8101 Fax: 423-698-3450
Dr. Elise Helene Marshall, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 Glenwood Dr Ste 300, Chattanooga, TN 37404 Phone: 423-495-2690 Fax: 423-495-2698
Dr. Joshua Warner Hornsby, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 979 E 3rd St Ste A-440, Chattanooga, TN 37403 Phone: 423-778-2867 Fax: 423-778-2866
Dr. Donald Franklin Mackler, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 721 Glenwood Dr, Ste. W552, Chattanooga, TN 37404 Phone: 423-629-6258 Fax: 423-629-9531

Dr Matthew Evert Wiisanen, MD - Medicare Interventional Cardiology in Chattanooga, TN