Dr Nicolette Christine Wise, DO | |
1125 Madison St, Jefferson City, MO 65101-5227 | |
(316) 268-5000 | |
Not Available |
Full Name | Dr Nicolette Christine Wise |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 1125 Madison St, Jefferson City, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104084888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 6966 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Missouri Health Care | Columbia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Curators Of The University Of Missouri | 4486759560 | 997 |
Entity Name | Capital Region Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
Entity Name | The Curators Of The University Of Missouri |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicolette Christine Wise, DO 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (316) 268-5000 | Dr Nicolette Christine Wise, DO 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (316) 268-5000 |
Scott W. Tanner, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Mark R. Frederick, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Thomas E Hetherington, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 | |
Suzanne M. Pautler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 | |
Dr. Deana Michelle Berrey, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5771 | |
Adelia L. Doerhoff, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1445 Christy Dr, Jefferson City, MO 65101 Phone: 573-636-3483 Fax: 573-636-5315 |