Blakely David Wise, PA in Cornelius, NC - Medicare Physician Assistant

Blakely David Wise, PA is a medicare enrolled "Physician Assistant" in Cornelius, North Carolina. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Atrium Health North Market Network Llc, Bozeman Health Urgent Care, Bozeman Health Convenience Care Llc and his current practice location is 20036 Zion Ave, Ste 100, Cornelius, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 801-7400.

Blakely David Wise is licensed to practice in North Carolina (license number 0010-08866) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396201935.

Contact Information

	Blakely David Wise, PA
	20036 Zion Ave, Ste 100, Cornelius, NC 28031-8435
	(704) 801-7400
	Not Available

Map and Direction

Provider's Profile

Full Name	Blakely David Wise
Gender	Male
Speciality	Physician Assistant
Experience	6 Years
Location	20036 Zion Ave, Cornelius, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blakely David Wise graduated from nursing school in 2018

NPI Data:

NPI Number: 1396201935
Provider Enumeration Date: 02/19/2019
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8628311636
Enrollment ID: I20190515000125

Medical Identifiers

Medical identifiers for Blakely David Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396201935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0010-08866 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bozeman Health Deaconess Hospital	Bozeman, MT	Hospital
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Atrium Health North Market Network Llc	1557743440	104
Bozeman Health Urgent Care	3476879305	25
Bozeman Health Convenience Care Llc	6608137096	20

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. Blakely David 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
Blakely David Wise, PA Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Blakely David Wise, PA 20036 Zion Ave, Ste 100, Cornelius, NC 28031-8435 Ph: (704) 801-7400

Reviews and Comments

Physician Assistant Nurses in Cornelius, NC

Lauren Bennett Cress, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 17078 Nat Bynum Ln Unit 3, Cornelius, NC 28031 Phone: 704-324-3975
Alexandra Michele Dixon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 19485 Old Jetton Rd Ste 210, Cornelius, NC 28031 Phone: 704-316-1830
Kristen Elizabeth Vance, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19485 Old Jetton Rd Ste 210, Cornelius, NC 28031 Phone: 704-316-1830
Brooke Kay Gostomski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19824 W Catawba Ave Ste G, Cornelius, NC 28031 Phone: 704-237-4240
Ms. Gina M Fishburne, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031 Phone: 704-384-1775 Fax: 704-384-1776
Mr. Scott Brandon Webster, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19485 Old Jetton Rd Ste 210, Cornelius, NC 28031 Phone: 704-316-1830

Blakely David Wise, PA - Medicare Physician Assistant in Cornelius, NC