Amy R Wise, PA-C in Maple Grove, MN - Medicare Physician Assistant

Amy R Wise, PA-C is a medicare enrolled "Physician Assistant" in Maple Grove, Minnesota. Her current practice location is 9630 Grove Cir N Ste 200, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 520-7870.

Amy R Wise is licensed to practice in Minnesota (license number 14659) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245602481.

Contact Information

	Amy R Wise, PA-C
	9630 Grove Cir N Ste 200, Maple Grove, MN 55369-3492
	(763) 520-7870
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy R Wise
Gender	Female
Speciality	Physician Assistant
Location	9630 Grove Cir N Ste 200, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245602481
Provider Enumeration Date: 10/27/2015
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9234586165
Enrollment ID: I20231114001514

Medical Identifiers

Medical identifiers for Amy R Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245602481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	14659 (Minnesota)	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. Amy R 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
Amy R Wise, PA-C 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600	Amy R Wise, PA-C 9630 Grove Cir N Ste 200, Maple Grove, MN 55369-3492 Ph: (763) 520-7870

Reviews and Comments

Physician Assistant Nurses in Maple Grove, MN

Emily Lou Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369 Phone: 763-520-7870 Fax: 763-520-7580
Kelsey Kostreba, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500
Jordan Lillian Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Niagara Ln N # 100, Maple Grove, MN 55369 Phone: 224-213-5886
George Onyango, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9855 Hospital Dr Ste 102a, Maple Grove, MN 55369 Phone: 763-581-9220 Fax: 763-581-9221
Kristen Marie Finnegan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9855 Hospital Dr # 102a, Maple Grove, MN 55369 Phone: 763-581-9223
Tanner Jesus Verduzco, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12000 Elm Creek Blvd N Ste 300, Maple Grove, MN 55369 Phone: 952-841-2345 Fax: 952-841-2346
Austin James Heneman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12000 Elm Creek Blvd N Ste 300, Maple Grove, MN 55369 Phone: 952-841-2345 Fax: 952-841-2346

Amy R Wise, PA-C - Medicare Physician Assistant in Maple Grove, MN