Jerry Paul Wisdom Iii, CRNP in Dothan, AL - Medicare Nurse Practitioner

Jerry Paul Wisdom Iii, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Dothan, Alabama. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southern Clinic Pc and his current practice location is 1450 Ross Clark Cir Ste 400, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 305-0400.

Jerry Paul Wisdom Iii is licensed to practice in Alabama (license number 1-152894) 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 1912570607.

Contact Information

	Jerry Paul Wisdom Iii, CRNP
	1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770
	(334) 305-0400
	Not Available

Map and Direction

Provider's Profile

Full Name	Jerry Paul Wisdom Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	1450 Ross Clark Cir Ste 400, Dothan, Alabama
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:

Jerry Paul Wisdom Iii graduated from nursing school in 2021

NPI Data:

NPI Number: 1912570607
Provider Enumeration Date: 07/20/2021
Last Update Date: 07/20/2021

Medicare PECOS Information:

PECOS PAC ID: 6204231137
Enrollment ID: I20210816002450

Medical Identifiers

Medical identifiers for Jerry Paul Wisdom Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912570607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-152894 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeast Alabama Medical Center	Dothan, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Clinic Pc	1355329269	18

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. Jerry Paul Wisdom Iii allows following entities to bill medicare on his behalf.

Entity Name	Southern Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053410480 PECOS PAC ID: 1355329269 Enrollment ID: O20040708000585

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. Jerry Paul Wisdom Iii 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
Jerry Paul Wisdom Iii, CRNP 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 Ph: (334) 305-0400	Jerry Paul Wisdom Iii, CRNP 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 Ph: (334) 305-0400

Reviews and Comments

Nurse Practitioner Nurses in Dothan, AL

Julia Jones Holloway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190
Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212
Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500
Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063
Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291
Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614
Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642

Jerry Paul Wisdom Iii, CRNP - Medicare Nurse Practitioner in Dothan, AL