Courtney Wiseman, PA | |
18144 Seco St, Jamestown, CA 95327-9498 | |
(209) 984-4820 | |
(209) 984-4825 |
Full Name | Courtney Wiseman |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 18144 Seco St, Jamestown, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144769332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 0010-07098 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 57620 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Courtney Wiseman, PA Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-1246 | Courtney Wiseman, PA 18144 Seco St, Jamestown, CA 95327-9498 Ph: (209) 984-4820 |
David Benjamin Demattei, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 18144 Seco St, Jamestown, CA 95327 Phone: 209-984-4820 Fax: 209-984-4825 | |
Alexandra Maria Faria, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18144 Seco St, Jamestown, CA 95327 Phone: 209-984-4820 | |
Kimberly Schauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18144 Seco St, Jamestown, CA 95327 Phone: 209-984-4820 |