Timothy Wise, | |
1701 Spring St Ste B, Jeffersonville, IN 47130-2930 | |
(812) 284-2273 | |
(812) 284-2279 |
Full Name | Timothy Wise |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1701 Spring St Ste B, Jeffersonville, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467949073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71007909A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fast Pace Kentucky Pllc | 0143525998 | 96 |
Fast Pace Medical Clinic Pllc | 5395881841 | 556 |
Total Care Family Practice Rick Bobay Llc | 5991844631 | 28 |
Fast Pace Kentucky Pllc | 0143525998 | 96 |
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Fast Pace Medical Clinic Pllc | 5395881841 | 556 |
Total Care Family Practice Rick Bobay Llc | 5991844631 | 28 |
Fc Indiana Llc | 8820360001 | 28 |
Entity Name | Total Care Family Practice Rick Bobay Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356674162 PECOS PAC ID: 5991844631 Enrollment ID: O20091209000326 |
Entity Name | Sound Physicians Of Indiana, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528311149 PECOS PAC ID: 4981841780 Enrollment ID: O20130515000624 |
Entity Name | Transitions Health Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336625706 PECOS PAC ID: 8820349830 Enrollment ID: O20181001001554 |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491 |
Mailing Address | Practice Location Address |
---|---|
Timothy Wise, 1701 Spring St Ste B, Jeffersonville, IN 47130-2930 Ph: (812) 284-2273 | Timothy Wise, 1701 Spring St Ste B, Jeffersonville, IN 47130-2930 Ph: (812) 284-2273 |
Lauren Nicole Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Hospital Blvd, Jeffersonville, IN 47130 Phone: 812-282-3899 Fax: 812-282-4172 | |
Elissa Vaughn, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-6606 | |
Brandy Michelle Cook, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 Spring St Ste B, Jeffersonville, IN 47130 Phone: 812-284-2273 | |
Sara Bennett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Noahs Ln Bldg 215, Jeffersonville, IN 47130 Phone: 812-284-1760 Fax: 812-282-4316 | |
Virginia L Nisbet, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 443 Spring St Ste 200, Jeffersonville, IN 47130 Phone: 812-288-8360 Fax: 812-288-8375 | |
Amy Irene Surber, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Clinic #3975, 1002 Spring Street, Jeffersonville, IN 47130 Phone: 812-282-2256 | |
Bradford Nathanial Whitehead, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1036 Sharon Dr, Jeffersonville, IN 47130 Phone: 812-280-2080 |