Kevin Brantley Wise, MD is a medicare enrolled "Surgery" physician in Millcreek, Utah. His current practice location is
1200 E 3900 S Ste 4e, Millcreek, Utah. You can reach out to his office (for appointments etc.) via phone at
(385) 347-3773.
Kevin Brantley Wise is licensed to practice in Utah (license number 13005654-1205) 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 1427344233.
Physician's Profile
Full Name | Kevin Brantley Wise |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1200 E 3900 S Ste 4e, Millcreek, Utah |
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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:
- Kevin Brantley Wise attended and graduated from in
NPI Data:
- NPI Number: 1427344233
- Provider Enumeration Date: 06/21/2011
- Last Update Date: 03/30/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kevin Brantley Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427344233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 55513 (Minnesota) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | 13005654-1205 (Utah) | Secondary |
2086S0127X | Surgery - Trauma Surgery | Q8190 (Texas) | Secondary |
208600000X | Surgery | 13005654-1205 (Utah) | Primary |
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. Kevin Brantley Wise 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 |
Kevin Brantley Wise, MD 1220 E 3900 S Ste 4e, Millcreek, UT 84124-1343 Ph: (385) 347-3773 | Kevin Brantley Wise, MD 1200 E 3900 S Ste 4e, Millcreek, UT 84124-1300 Ph: (385) 347-3773 |
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