| Ms Patricia Diane Wise, PA | |
|
433 W High St, Bryan, OH 43506-1690 | |
| (419) 636-1131 | |
| (419) 636-3100 |
| Full Name | Ms Patricia Diane Wise |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 433 W High St, Bryan, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720388481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.007054RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospitals And Wellness Centers | Bryan, OH | Hospital |
| Community Hospitals And Wellness Centers | Montpelier, OH | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Hospitals And Wellness Centers | 7517878093 | 54 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Patricia Diane Wise, PA 433 W High St, Bryan, OH 43506-1690 Ph: (419) 636-1131 | Ms Patricia Diane Wise, PA 433 W High St, Bryan, OH 43506-1690 Ph: (419) 636-1131 |
Mr. Michael W Koenig, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 442 W High St Ste 3, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438 |