Mary Fowler Wise, DO - Medicare Family Practice in Knoxville, TN

Mary Fowler Wise, DO is a medicare enrolled "Family Medicine" physician in Knoxville, Tennessee. She went to Lincoln Memorial University Medical Department and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Covenant Medical Group Inc and her current practice location is 1300 Old Weisgarber Rd, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 584-2146.

Mary Fowler Wise is licensed to practice in Tennessee (license number 3759) 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 1831545086.

Contact Information

Mary Fowler Wise, DO
1300 Old Weisgarber Rd,
Knoxville, TN 37909-1291
(865) 584-2146
Not Available

Map and Direction




Physician's Profile

Full NameMary Fowler Wise
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location1300 Old Weisgarber Rd, Knoxville, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Fowler Wise attended and graduated from Lincoln Memorial University Medical Department in 2016
  NPI Data:
  • NPI Number: 1831545086
  • Provider Enumeration Date: 05/06/2016
  • Last Update Date: 06/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072804459
  • Enrollment ID: I20191106003546

Medical Identifiers

Medical identifiers for Mary Fowler Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831545086NPI-NPPES
Q042877MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 3759 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareKnoxville, TNHome health agency
Parkwest Medical CenterKnoxville, TNHospital
Fort Sanders Regional Medical CenterKnoxville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Covenant Medical Group Inc2860305463282

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. Mary Fowler Wise allows following entities to bill medicare on her behalf.
Entity NameCovenant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457302010
PECOS PAC ID: 2860305463
Enrollment ID: O20060719000030

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. Mary Fowler 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 AddressPractice Location Address
Mary Fowler Wise, DO
1300 Old Weisgarber Rd,
Knoxville, TN 37909-1291

Ph: (865) 584-2146
Mary Fowler Wise, DO
1300 Old Weisgarber Rd,
Knoxville, TN 37909-1291

Ph: (865) 584-2146

Reviews and Comments


Family Medicine Doctors in Knoxville, TN

Dr. Dennis R. King, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11416 Grigsby Chapel Rd Ste 102, Knoxville, TN 37934
Phone: 865-392-1717    Fax: 865-392-1719
Jonathan Andrew Towe,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7326 Maynardville Pike Ste 400, Knoxville, TN 37938
Phone: 865-925-9035    Fax: 865-925-9045
James Stacy Hicks, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Old Weisgarber Rd, Knoxville, TN 37909
Phone: 865-584-2146    Fax: 865-584-9660
Dr. Priya Raghavan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3336 South Cir, Knoxville, TN 37920
Phone: 865-577-0320    Fax: 865-573-9544
Lance Morehead, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9303 Park West Blvd, Ste 100, Knoxville, TN 37923
Phone: 865-690-6451    
Dr. Chang Wen Chen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10430 Lovell Center Dr, Knoxville, TN 37922
Phone: 865-693-6882    Fax: 865-693-2909
Adam Christopher Lett, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7211 Wellington Dr, Suite 201, Knoxville, TN 37919
Phone: 865-584-5762    Fax: 865-584-3403

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.