Kristina Wise, in Fort Wayne, IN - Medicare Social Worker Provider

Kristina Wise, is a medicare enrolled "Social Worker - Clinical" provider in Fort Wayne, Indiana. His current practice location is 203 W Wayne St Ste 317, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 333-9703.

Kristina Wise is licensed to practice in Indiana (license number 34008004A) 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 1720155492.

Contact Information

	Kristina Wise,
	203 W Wayne St Ste 317, Fort Wayne, IN 46802
	(260) 333-9703
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristina Wise
Gender	Male
Speciality	Social Worker - Clinical
Location	203 W Wayne St Ste 317, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720155492
Provider Enumeration Date: 11/29/2006
Last Update Date: 06/06/2018

Medicare PECOS Information:

PECOS PAC ID: 5294176442
Enrollment ID: I20240518000193

Medical Identifiers

Medical identifiers for Kristina Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720155492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34008004A (Indiana)	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. Kristina Wise allows following entities to bill medicare on his behalf.

Entity Name	Alliance Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316556848 PECOS PAC ID: 8022437318 Enrollment ID: O20201006002848

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. Kristina 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
Kristina Wise, 203 W Wayne St Ste 317, Fort Wayne, IN 46802-3610 Ph: (260) 333-9703	Kristina Wise, 203 W Wayne St Ste 317, Fort Wayne, IN 46802 Ph: (260) 333-9703

Reviews and Comments

Social Worker in Fort Wayne, IN

Alia Osborn, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6526 Hillsboro Ln, Fort Wayne, IN 46835 Phone: 260-494-2205
Nicholas Todoran, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1909 Carew St, Fort Wayne, IN 46805 Phone: 260-481-2800 Fax: 260-969-8442
Jeri Ann Forrest, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1818 Carew St, Suite 230, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8003
Rikki Lynn Treesh, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4918 Canterbury Dr, Fort Wayne, IN 46835 Phone: 260-241-6191
Ms. Yvonne Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3262 Mallard Cove Ln, Fort Wayne, IN 46804 Phone: 260-580-8508 Fax: 260-755-1451
Deborah Louise Amick, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12333 Southampton Dr, Fort Wayne, IN 46814 Phone: 260-672-0491
Scott Kruse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-421-1029

Kristina Wise, - Medicare Clinical Social Worker in Fort Wayne, IN