Jamesha Audria Wise, in Baltimore, MD - Medicare Nurse Practitioner

Jamesha Audria Wise, is a medicare enrolled "Nurse Practitioner - Family" in Baltimore, Maryland. Her current practice location is 600 N Wolfe Street, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 955-6520.

Jamesha Audria Wise is licensed to practice in Maryland (license number AC004339) 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 1669053385.

Contact Information

	Jamesha Audria Wise,
	600 N Wolfe Street, Baltimore, MD 21264-3423
	(410) 955-6520
	(443) 287-6963

Map and Direction

Provider's Profile

Full Name	Jamesha Audria Wise
Gender	Female
Speciality	Nurse Practitioner - Family
Location	600 N Wolfe Street, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669053385
Provider Enumeration Date: 04/15/2021
Last Update Date: 01/14/2025

Medicare PECOS Information:

PECOS PAC ID: 3375947203
Enrollment ID: I20210813001735

Medical Identifiers

Medical identifiers for Jamesha Audria Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669053385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0024181172 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	AC004339 (Maryland)	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. Jamesha Audria Wise allows following entities to bill medicare on her behalf.

Entity Name	Advanced Integrative Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851884977 PECOS PAC ID: 2668808569 Enrollment ID: O20200213001298

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. Jamesha Audria 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
Jamesha Audria Wise, 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: (410) 933-6423	Jamesha Audria Wise, 600 N Wolfe Street, Baltimore, MD 21264-3423 Ph: (410) 955-6520

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Jamesha Audria Wise, - Medicare Nurse Practitioner in Baltimore, MD