Dr Roger P Wise, PSYD | |
306 S Independence St, Harrisonville, MO 64701-2352 | |
(816) 380-4010 | |
(816) 887-5703 |
Full Name | Dr Roger P Wise |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 45 Years |
Location | 306 S Independence St, Harrisonville, Missouri |
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 |
---|---|---|---|
1942390455 | NPI | - | NPPES |
07108031 | Other | MO | BLUE CROSS BLUE SHIELD |
493233209 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 00914 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sondermind Provider Network Llc | 9537572490 | 485 |
Entity Name | Community Mental Health Consultants, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740330406 PECOS PAC ID: 7618877903 Enrollment ID: O20040112000357 |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger P Wise, PSYD 306 S Independence St, Harrisonville, MO 64701-2352 Ph: (816) 380-4010 | Dr Roger P Wise, PSYD 306 S Independence St, Harrisonville, MO 64701-2352 Ph: (816) 380-4010 |
Dr. Debra R Mammadova, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 117 S Lexington St Ste 100, Harrisonville, MO 64701 Phone: 414-839-4579 Fax: 855-202-6591 | |
Mr. Scott A Maid, PSY.D., PLPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 302 E Wall St, Harrisonville, MO 64701 Phone: 816-884-5777 Fax: 816-884-5778 | |
Ms. Undine Fisher, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 305 W Wall St, Suite A, Harrisonville, MO 64701 Phone: 816-716-4237 | |
Dr. Kristen L Davis, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 S Independence St, Harrisonville, MO 64701 Phone: 816-380-4010 Fax: 816-887-5703 |