Mr Russell J Wise, FNP in Laredo, TX - Medicare Nurse Practitioner

Mr Russell J Wise, FNP is a medicare enrolled "Nurse Practitioner" in Laredo, Texas. His current practice location is 2007 S Zapata Hwy, Laredo, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 795-8101.

Mr Russell J Wise is licensed to practice in Texas (license number 633018) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750313375.

Contact Information

	Mr Russell J Wise, FNP
	2007 S Zapata Hwy, Laredo, TX 78046-6510
	(956) 795-8101
	(956) 795-8195

Map and Direction

Provider's Profile

Full Name	Mr Russell J Wise
Gender	Male
Speciality	Nurse Practitioner
Location	2007 S Zapata Hwy, Laredo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750313375
Provider Enumeration Date: 07/06/2006
Last Update Date: 10/30/2012

Medicare PECOS Information:

PECOS PAC ID: 1759669443
Enrollment ID: I20161101000464

Medical Identifiers

Medical identifiers for Mr Russell J Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750313375	NPI	-	NPPES
157631602	Other	TX	CSHCN
157631601	Medicaid	TX
081896501	Medicaid	TX
092953101	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	633018 (Texas)	Primary

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. Mr Russell J Wise allows following entities to bill medicare on his behalf.

Entity Name	Timberland Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528061157 PECOS PAC ID: 7719875491 Enrollment ID: O20040514000302

Entity Name	Regional Employee Assistance Program Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649232984 PECOS PAC ID: 1557260064 Enrollment ID: O20040612000731

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. Mr Russell J 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
Mr Russell J Wise, FNP 2007 S Zapata Hwy, Laredo, TX 78046-6510 Ph: (956) 795-8101	Mr Russell J Wise, FNP 2007 S Zapata Hwy, Laredo, TX 78046-6510 Ph: (956) 795-8101

Reviews and Comments

Nurse Practitioner Nurses in Laredo, TX

Delores Vait Rodriguez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1801 Gustavus St, Laredo, TX 78043 Phone: 956-724-4574 Fax: 956-523-0120
Raul Rogelio Cortes, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2605 N Arkansas Ave, Laredo, TX 78043 Phone: 956-568-3970
Maria D Villarreal, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 Pappas St, Laredo, TX 78041 Phone: 956-523-3683 Fax: 956-718-6294
Mrs. Margie Castaneda, RN MSN FNP BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2601 Clark Blvd, Laredo, TX 78043 Phone: 956-795-4774 Fax: 956-795-0147
Erica Gisela Nava, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7215 Mcpherson Rd, Laredo, TX 78041 Phone: 956-722-8046
Haley Slight Martinez, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1405 Jacaman Rd Ste 104, Laredo, TX 78041 Phone: 956-727-3047 Fax: 956-717-3630
Bianca Blackstone, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 E Saunders St, Laredo, TX 78041 Phone: 956-796-5000

Mr Russell J Wise, FNP - Medicare Nurse Practitioner in Laredo, TX