Jeffrey Scott Wiseman, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Johnson City, New York. His current practice location is
30 Harrison St Ste 455, Johnson City, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 763-8100.
Jeffrey Scott Wiseman is licensed to practice in New York (license number 190990) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235469974.
Physician's Profile
Full Name | Jeffrey Scott Wiseman |
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Gender | Male |
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Speciality | Colon & Rectal Surgery |
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Location | 30 Harrison St Ste 455, Johnson City, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235469974
- Provider Enumeration Date: 12/31/2009
- Last Update Date: 01/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 7315078821
- Enrollment ID: I20100628000502
Medical Identifiers
Medical identifiers for Jeffrey Scott Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235469974 | NPI | - | NPPES |
01236451 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 190990 (New York) | Secondary |
208C00000X | Colon & Rectal Surgery | 190990 (New York) | Primary |
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. Jeffrey Scott Wiseman allows following entities to bill medicare on his behalf.
Entity Name | United Health Services Hospitals, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
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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. Jeffrey Scott Wiseman 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 |
Jeffrey Scott Wiseman, MD 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 763-8100 | Jeffrey Scott Wiseman, MD 30 Harrison St Ste 455, Johnson City, NY 13790-2176 Ph: (607) 763-8100 |
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