Dr John Wesley Wisor, PHD in Glenwood, MD - Medicare Clinical Psychologist Provider

Dr John Wesley Wisor, PHD is a medicare enrolled "Psychologist" provider in Glenwood, Maryland. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Psychogeriatric Services Llc and his current practice location is 3307 Saddle Horse Ct, Glenwood, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 963-8381.

Dr John Wesley Wisor is licensed to practice in Maryland (license number 2872) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972849107.

Contact Information

	Dr John Wesley Wisor, PHD
	3307 Saddle Horse Ct, Glenwood, MD 21738-9526
	(410) 963-8381
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Wesley Wisor
Gender	Male
Speciality	Clinical Psychologist
Experience	35 Years
Location	3307 Saddle Horse Ct, Glenwood, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr John Wesley Wisor graduated from medical school in 1989

NPI Data:

NPI Number: 1972849107
Provider Enumeration Date: 12/16/2012
Last Update Date: 12/16/2012

Medicare PECOS Information:

PECOS PAC ID: 7719128289
Enrollment ID: I20160630001987

Medical Identifiers

Medical identifiers for Dr John Wesley Wisor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972849107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2872 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychogeriatric Services Llc	6002719226	124

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. Dr John Wesley Wisor allows following entities to bill medicare on his behalf.

Entity Name	Psychogeriatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040127000803

Entity Name	Deer Oaks Mental Health Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20150318000395

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. Dr John Wesley Wisor 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
Dr John Wesley Wisor, PHD 3307 Saddle Horse Ct, Glenwood, MD 21738-9526 Ph: (410) 963-8381	Dr John Wesley Wisor, PHD 3307 Saddle Horse Ct, Glenwood, MD 21738-9526 Ph: (410) 963-8381

Dr John Wesley Wisor, PHD - Medicare Psychologist in Glenwood, MD