Thomas Wayne Wiseman, DO in Mustang, OK - Medicare Family Medicine

Thomas Wayne Wiseman, DO is a medicare enrolled "Family Medicine" physician in Mustang, Oklahoma. His current practice location is 201 S Sara Rd Ste 200, Mustang, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 578-3250.

Thomas Wayne Wiseman is licensed to practice in Oklahoma (license number 7784) 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 1851979777.

Contact Information

	Thomas Wayne Wiseman, DO
	201 S Sara Rd Ste 200, Mustang, OK 73064-4308
	(405) 578-3250
	(405) 578-3299

Map and Direction

Physician's Profile

Full Name	Thomas Wayne Wiseman
Gender	Male
Speciality	Family Medicine
Location	201 S Sara Rd Ste 200, Mustang, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851979777
Provider Enumeration Date: 03/31/2021
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 0840732368
Enrollment ID: I20240611003836

Medical Identifiers

Medical identifiers for Thomas Wayne Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851979777	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	7784 (Oklahoma)	Primary

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. Thomas Wayne Wiseman allows following entities to bill medicare on his behalf.

Entity Name	Saints Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189

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. Thomas Wayne Wiseman 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
Thomas Wayne Wiseman, DO 201 S Sara Rd Ste 200, Mustang, OK 73064-4308 Ph: (405) 578-3250	Thomas Wayne Wiseman, DO 201 S Sara Rd Ste 200, Mustang, OK 73064-4308 Ph: (405) 578-3250

Reviews and Comments

Family Medicine Doctors in Mustang, OK

Ilona Dobrowolska Samara, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 S Sara Rd, Suite 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299
Dr. Richard A Lowrance Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 S Sara Rd Ste 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299
Dr. Miriam Elaine Thompson-mathew, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S Sara Rd Ste 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299
Rebecca G. Biorato, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 731 E State Highway 152, Mustang, OK 73064 Phone: 405-256-5011 Fax: 405-256-5074
Leslie Williams, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S Sara Rd Ste 200, Mustang, OK 73064 Phone: 405-578-3250 Fax: 405-578-3299
Dr. Peter Paul Bullock Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 S Castlerock Ln, Mustang, OK 73064 Phone: 405-256-0374
Gerald A Amundsen Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 N Mustang Mall Ter, Mustang, OK 73064 Phone: 405-256-6000 Fax: 405-256-6001

Thomas Wayne Wiseman, DO - Medicare Family Medicine in Mustang, OK