Dr Terrence Wise, MD | |
1255 Highway 54 W, Fayetteville, GA 30214-4526 | |
(770) 719-5630 | |
Not Available |
Full Name | Dr Terrence Wise |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 1255 Highway 54 W, Fayetteville, Georgia |
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 |
---|---|---|---|
1790759579 | NPI | - | NPPES |
2106119 | Other | HIGHMARK | |
1023118620001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 056246 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory Hillandale Hospital | Lithonia, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Specialty Associates, Llc | 3476559782 | 435 |
Entity Name | Georgia Inpatient Medicine Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558314112 PECOS PAC ID: 5496645525 Enrollment ID: O20040319001105 |
Entity Name | Cogent Healthcare Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | Georgia Hospitalists Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033576376 PECOS PAC ID: 0840434866 Enrollment ID: O20130912000799 |
Entity Name | Southern Regional Physicians Management Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483 |
Mailing Address | Practice Location Address |
---|---|
Dr Terrence Wise, MD 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (770) 719-5630 | Dr Terrence Wise, MD 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (770) 719-5630 |
Carzadean Bernadette Hall, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 Franklin Farms Cir, Fayetteville, GA 30214 Phone: 404-216-0132 | |
Vipin Ramprasad Lohiya, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214 Phone: 678-829-1060 Fax: 678-829-1099 | |
Connie Dupre, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W, Suite 5200, Fayetteville, GA 30214 Phone: 770-719-5601 | |
Poonam Ramani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Carnegie Pl Ste 103, Fayetteville, GA 30214 Phone: 770-716-7999 Fax: 770-716-8444 | |
Sushee C Gadde, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-716-0051 Fax: 770-716-0087 | |
Dr. John E Burney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214 Phone: 678-817-6550 Fax: 404-350-8795 | |
Dr. Bryan L Woods, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214 Phone: 770-719-3240 Fax: 770-719-3241 |