Mary Bernadette Wise, MD is a
General Practice physician based in Lyons, Illinois. Mary Bernadette Wise is licensed to practice in Illinois (license number ) and her current practice location is 7929 Ogden Ave, Lyons, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 447-2238.
NPI number for Mary Bernadette Wise is 1558379495 and her current mailing address is 320 Sunset Ave, La Grange, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558379495.
Physician's Profile
Full Name | Mary Bernadette Wise |
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Gender | Female |
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Speciality | General Practice |
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Location | 7929 Ogden Ave, Lyons, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558379495
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mary Bernadette Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558379495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | (Illinois) | 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. Mary Bernadette Wise is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Bernadette Wise, MD 320 Sunset Ave, La Grange, IL 60525 Ph: (708) 352-3849 | Mary Bernadette Wise, MD 7929 Ogden Ave, Lyons, IL 60534 Ph: (708) 447-2238 |
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