Richard G Wise, DO | |
11 Sycamore Dr, New Middletown, OH 44442-9754 | |
(330) 542-2881 | |
(330) 542-0074 |
Full Name | Richard G Wise |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 11 Sycamore Dr, New Middletown, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386610236 | NPI | - | NPPES |
0598769 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34-003728 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Patriot Homecare, Inc | Girard, OH | Home health agency |
Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Triad Health Services Llc | 9032367917 | 191 |
Entity Name | Richard G Wise Do Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164601746 PECOS PAC ID: 4183819600 Enrollment ID: O20101110000703 |
Entity Name | Triad Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
Mailing Address | Practice Location Address |
---|---|
Richard G Wise, DO Po Box 272, New Middletown, OH 44442-0272 Ph: (330) 542-2881 | Richard G Wise, DO 11 Sycamore Dr, New Middletown, OH 44442-9754 Ph: (330) 542-2881 |
Dr. Matthew Guy Gugliotti, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 170 Sandy Ct Unit 3, New Middletown, OH 44442 Phone: 330-542-9502 | |
Dr. Robert E Hendricks, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10251 Main St, New Middletown, OH 44442 Phone: 330-542-2315 Fax: 330-542-9700 |