Mrs Diana Gail Wische, CRNA in Montclair, NJ - Medicare Nurse Anesthetist, Certified Registered

Mrs Diana Gail Wische, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Montclair, New Jersey. Her current practice location is 1 Bay Ave, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 429-6219.

Mrs Diana Gail Wische is licensed to practice in New Jersey (license number 26NJ00226600) 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 1992976047.

Contact Information

	Mrs Diana Gail Wische, CRNA
	1 Bay Ave, Montclair, NJ 07042-4837
	(973) 429-6219
	(845) 547-0740

Map and Direction

Provider's Profile

Full Name	Mrs Diana Gail Wische
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1 Bay Ave, Montclair, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992976047
Provider Enumeration Date: 03/17/2008
Last Update Date: 07/24/2014

Medicare PECOS Information:

PECOS PAC ID: 1658450069
Enrollment ID: I20080509000130

Medical Identifiers

Medical identifiers for Mrs Diana Gail Wische such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992976047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	26NJ00226600 (New Jersey)	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. Mrs Diana Gail Wische allows following entities to bill medicare on her behalf.

Entity Name	Summit Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011

Entity Name	Parkway Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518319755 PECOS PAC ID: 2567758931 Enrollment ID: O20160912000258

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. Mrs Diana Gail Wische 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
Mrs Diana Gail Wische, CRNA 100 Route 59, Suite 105, Suffern, NY 10901-4927 Ph: (845) 357-5775	Mrs Diana Gail Wische, CRNA 1 Bay Ave, Montclair, NJ 07042-4837 Ph: (973) 429-6219

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Montclair, NJ

Mr. Timothy L. Murry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6250
Michelle Medina, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042 Phone: 973-429-6219 Fax: 845-547-0740
Ljiljana Kovacevic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Chestnut St, Montclair, NJ 07042 Phone: 973-842-0464 Fax: 973-972-2357
Erin Ferber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Avenue, Mountainside Hospital, Montclair, NJ 07042 Phone: 973-429-6000 Fax: 845-357-5777
Marci Viola, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042 Phone: 973-429-6219 Fax: 845-547-0740
Dr. Patrick Kelly Russell, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000
Jessica Sanchez, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6000

Mrs Diana Gail Wische, CRNA - Medicare Nurse Anesthetist, Certified Registered in Montclair, NJ