Mr Paul Pence Wisman Jr, MD in Charlottesville, VA

Mr Paul Pence Wisman Jr, MD is a medicare enrolled "Pediatrics" physician in Charlottesville, Virginia. His current practice location is 1011 E Jefferson St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 296-9161.

Mr Paul Pence Wisman Jr is licensed to practice in Virginia (license number 0101049022) 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 1235115650.

Contact Information

	Mr Paul Pence Wisman Jr, MD
	1011 E Jefferson St, Charlottesville, VA 22902-5354
	(434) 296-9161
	(434) 296-1036

Map and Direction

Physician's Profile

Full Name	Mr Paul Pence Wisman Jr
Gender	Male
Speciality	Pediatrics
Location	1011 E Jefferson St, Charlottesville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235115650
Provider Enumeration Date: 12/17/2005
Last Update Date: 09/29/2012

Medicare PECOS Information:

PECOS PAC ID: 3971943218
Enrollment ID: I20240502003488

Medical Identifiers

Medical identifiers for Mr Paul Pence Wisman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235115650	NPI	-	NPPES
12211500001	Other	VA	SOUTHERN HEALTH
010724	Other	VA	CIGNA
267258	Other	VA	MAMSI/ALLIANCE
333848	Other	VA	ANTHEM
006725856	Medicaid	VA
42728	Other	VA	VETRI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101049022 (Virginia)	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. Mr Paul Pence Wisman Jr 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
Mr Paul Pence Wisman Jr, MD 104 Kerry Ln, Charlottesville, VA 22901-2925 Ph: (434) 973-3806	Mr Paul Pence Wisman Jr, MD 1011 E Jefferson St, Charlottesville, VA 22902-5354 Ph: (434) 296-9161

Reviews and Comments

Pediatrics Doctors in Charlottesville, VA

Mr. Michael Douglas Dickens, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902 Phone: 434-296-9161 Fax: 434-296-1036
Linda A. Waggoner Fountain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-0123 Fax: 434-243-3300
Marion Elizabeth Szwedo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1011 E Jefferson St, Charlottesville, VA 22902 Phone: 434-296-9161 Fax: 434-977-6068
Dr. Gregory Rees Sturz, DO, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Box 800501, Charlottesville, VA 22908 Phone: 494-942-5321 Fax: 434-982-3816
Anne C Butz, LCSW Pediatrics Medicare: Medicare Enrolled Practice Location: 1204 W Main St, Charlottesville, VA 22903 Phone: 434-924-5321 Fax: 434-244-4412
Jessica C Di Zio, PNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-1761 Fax: 434-982-3561
Brooke D. Vergales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2335 Fax: 434-982-0796

Mr Paul Pence Wisman Jr, MD - Medicare Pediatrics in Charlottesville, VA