Pamela M Wise, OD | |
230 E Day Rd, 100, Mishawaka, IN 46545-3408 | |
(574) 271-3939 | |
(574) 271-3941 |
Full Name | Pamela M Wise |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 28 Years |
Location | 230 E Day Rd, Mishawaka, Indiana |
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 |
---|---|---|---|
1700863321 | NPI | - | NPPES |
18002843A | Other | IN | OPTOMETRIST LICENSE |
200149240 | Medicaid | IN | |
P00014932 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18002843A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michiana Eye Center Llc | 3173595634 | 12 |
Provider Name | Michiana Eye Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396722070 PECOS PAC ID: 3173595634 Enrollment ID: O20051208000136 |
Mailing Address | Practice Location Address |
---|---|
Pamela M Wise, OD 230 E Day Rd, 100, Mishawaka, IN 46545-3408 Ph: (574) 271-3939 | Pamela M Wise, OD 230 E Day Rd, 100, Mishawaka, IN 46545-3408 Ph: (574) 271-3939 |
Stephanie Marie Baxter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd, Ste 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 | |
Jini Varughese John, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 574-272-9000 | |
Dr. Jonathan Edward Kintner, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 517 Lincoln Way E, Mishawaka, IN 46544 Phone: 574-255-3188 Fax: 574-255-4182 | |
Dr. Jayson Paul Ferd Burden, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 517 Lincolnway E, Mishawaka, IN 46544 Phone: 574-255-1231 | |
Dr. Jeffrey A. Coppes, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6502 Grape Road, Suite 898, Mishawaka, IN 46545 Phone: 574-277-7723 Fax: 574-277-9698 | |
Shannan Elizabeth Brown, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd Ste 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 | |
Dr. Andrew R Anderson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 230 E Day Rd, 100, Mishawaka, IN 46545 Phone: 574-271-3939 Fax: 574-271-3941 |