Carla M Wise, APRN, FNP-C in Evansville, IN - Medicare Nurse Practitioner

Carla M Wise, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Evansville, Indiana. Her current practice location is 1200 Professional Blvd, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 479-9500.

Carla M Wise is licensed to practice in Indiana (license number 71012646A) 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 1336768993.

Contact Information

	Carla M Wise, APRN, FNP-C
	1200 Professional Blvd, Evansville, IN 47714-8002
	(812) 479-9500
	(812) 437-0037

Map and Direction

Provider's Profile

Full Name	Carla M Wise
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	1200 Professional Blvd, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336768993
Provider Enumeration Date: 04/14/2020
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 2961826755
Enrollment ID: I20200727002553

Medical Identifiers

Medical identifiers for Carla M Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336768993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3014414 (Kentucky)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	71012646A (Indiana)	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. Carla M Wise allows following entities to bill medicare on her behalf.

Entity Name	Methodist Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679718100 PECOS PAC ID: 4981508454 Enrollment ID: O20031204000875

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891941688 PECOS PAC ID: 3375610116 Enrollment ID: O20081017000259

Entity Name	Pain Management Centers Of America Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992271811 PECOS PAC ID: 2769727114 Enrollment ID: O20190205002506

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. Carla M 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
Carla M Wise, APRN, FNP-C 5440 Highway 136 W, Henderson, KY 42420-9611 Ph: (270) 869-4151	Carla M Wise, APRN, FNP-C 1200 Professional Blvd, Evansville, IN 47714-8002 Ph: (812) 479-9500

Reviews and Comments

Nurse Practitioner Nurses in Evansville, IN

Kelly Kelly, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Covert Ave, Evansville, IN 47714 Phone: 812-476-9983 Fax: 812-437-6149
Megan E Mayes, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N Kentucky Ave, Evansville, IN 47725 Phone: 812-492-5055 Fax: 812-402-9857
Valerie A Turpen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1750 Oak Hill Rd, Evansville, IN 47711 Phone: 812-485-2580 Fax: 812-485-2590
Melissa L Attebury, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8600 University Blvd Rm Hp0091, Evansville, IN 47712 Phone: 812-465-1250 Fax: 812-465-7170
Angela L Sams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4498 1st Ave, Evansville, IN 47710 Phone: 812-436-7280 Fax: 812-436-7290
Chelsea Miles, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 958c S Kenmore Dr, Evansville, IN 47714 Phone: 812-477-2760
Roseanna L Parkhurst Gatewood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Bellemeade Ave Ste 202, Evansville, IN 47714 Phone: 812-485-5800

Carla M Wise, APRN, FNP-C - Medicare Nurse Practitioner in Evansville, IN