| Nicole A Wizeman, PA-C | |
|
71 Haynes St, Manchester, CT 06040-4131 | |
| (860) 533-6595 | |
| (860) 533-6594 |
| Full Name | Nicole A Wizeman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 71 Haynes St, Manchester, Connecticut |
| 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 |
|---|---|---|---|
| 1134511595 | NPI | - | NPPES |
| 4686907 | Other | CT | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 3298 (Connecticut) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA5251 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Ctr | Springfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sc Orthopedics Of New England, Pc. | 4385907609 | 7 |
| Riverbend Medical Group Inc | 5698064343 | 159 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole A Wizeman, PA-C 71 Haynes St, Manchester, CT 06040-4131 Ph: () - | Nicole A Wizeman, PA-C 71 Haynes St, Manchester, CT 06040-4131 Ph: (860) 533-6595 |
Shane Thomas Joy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 256 N Main St, Manchester, CT 06042 Phone: 860-696-2300 | |
Samuel Lamana, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 935 Main St, Manchester, CT 06040 Phone: 860-527-5803 Fax: 860-525-3687 | |
Jyoti Mittal, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4176 | |
Danielle Kirei, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222 | |
Mr. David C Woodworth, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 277 Middle Tpke W, Manchester, CT 06040 Phone: 860-432-4640 Fax: 860-432-4759 | |
Andrea Lynch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-533-6595 Fax: 860-533-6594 | |
Faraz Mohammad Sabir, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-647-6475 |