Larry Keith Wise, MD in Salisbury, MD

Larry Keith Wise, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Salisbury, Maryland. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Dorchester County Health Department and his current practice location is 2336 Goddard Pkwy, Salisbury, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 334-6961.

Larry Keith Wise is licensed to practice in Maryland (license number D0051458) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1407982721.

Contact Information

	Larry Keith Wise, MD
	2336 Goddard Pkwy, Salisbury, MD 21801-1126
	(410) 334-6961
	(410) 334-6362

Map and Direction

Physician's Profile

Full Name	Larry Keith Wise
Gender	Male
Speciality	Psychiatry
Experience	32 Years
Location	2336 Goddard Pkwy, Salisbury, Maryland
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larry Keith Wise graduated from medical school in 1992

NPI Data:

NPI Number: 1407982721
Provider Enumeration Date: 02/23/2007
Last Update Date: 04/28/2011

Medicare PECOS Information:

PECOS PAC ID: 7416922851
Enrollment ID: I20110720000266

Medical Identifiers

Medical identifiers for Larry Keith Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407982721	NPI	-	NPPES
930593249	Other	OR	GROUP TAX ID #
609550001	Medicaid	MD
609550002	Medicaid	MD
1225016561	Other	OR	GROUP NPI #
609550004	Medicaid	MD
LM49EA	Other	MD	CAREFIRST BCBS LOCAL
R968	Other	MD	CAREFIRST BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD26174 (Oregon)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	D0051458 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dorchester County Health Department	7618228453	2

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. Larry Keith Wise allows following entities to bill medicare on his behalf.

Entity Name	Dorchester County Health Department
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134618721 PECOS PAC ID: 7618228453 Enrollment ID: O20180918003393

Entity Name	Arman C. Moshyedi, Md, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578126306 PECOS PAC ID: 2062742794 Enrollment ID: O20200421000323

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. Larry Keith 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
Larry Keith Wise, MD 2336 Goddard Pkwy, Salisbury, MD 21801-1126 Ph: (410) 334-6961	Larry Keith Wise, MD 2336 Goddard Pkwy, Salisbury, MD 21801-1126 Ph: (410) 334-6961

Reviews and Comments

Psychiatry & Neurology Doctors in Salisbury, MD

Dr. Vincent Charles Siracusano, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 102 W Market St, Peninsula Mental Health Services, Salisbury, MD 21801 Phone: 410-860-2673 Fax: 410-860-0450
Dr. Khalid Ahmed, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2336 Goddard Pkwy, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6960
Ovais Khalid, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 800-749-5191
Dr. Mark David Walsh, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 106 Milford St, Suite 306, Salisbury, MD 21804 Phone: 410-677-6500 Fax: 410-677-6502
Dr. Kyle Jarrett Ward, DO, MS Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1104 Healthway Dr, Salisbury, MD 21804 Phone: 410-219-5483 Fax: 410-219-5486
Talmadge Curle Reeves, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 233 West Main Street, Salisbury, MD 21801 Phone: 410-749-0124 Fax: 410-546-4872
Dr. Peter Raymond Sebastian, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 32071 Beaver Run Dr, Ste B, Salisbury, MD 21804 Phone: 410-341-6520 Fax: 410-341-6526

Larry Keith Wise, MD - Medicare Psychiatry in Salisbury, MD