Addison Brown Wise, PT, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in West Linn, Oregon. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Advance Sports And Spine Therapy Llc and her current practice location is
1554 Garden St Ste 103, West Linn, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 723-0347.
Addison Brown Wise is licensed to practice in Oregon (license number 63573) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790317758.
Physician's Profile
| Full Name | Addison Brown Wise |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 5 Years |
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| Location | 1554 Garden St Ste 103, West Linn, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Addison Brown Wise graduated from medical school in 2019
NPI Data:
- NPI Number: 1790317758
- Provider Enumeration Date: 02/07/2020
- Last Update Date: 04/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537596085
- Enrollment ID: I20200306002125
Medical Identifiers
Medical identifiers for Addison Brown Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790317758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 63573 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advance Sports And Spine Therapy Llc | 2567457104 | 7 |
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. Addison Brown Wise allows following entities to bill medicare on her behalf.
| Entity Name | New Heights Integrative Therapy, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558308478
PECOS PAC ID: 1557251907
Enrollment ID: O20040318000725 |
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| Entity Name | Advance Sports & Spine Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669405767
PECOS PAC ID: 2567457104
Enrollment ID: O20040414001924 |
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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. Addison Brown Wise 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 |
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Addison Brown Wise, PT, DPT
1554 Garden St Ste 103,
West Linn, OR 97068-3278
Ph: (503) 723-0347 | Addison Brown Wise, PT, DPT
1554 Garden St Ste 103,
West Linn, OR 97068-3278
Ph: (503) 723-0347 |
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