Jena Lois Wise, PA-C is a medicare enrolled "Physician Assistant" provider in Worcester, Massachusetts. Her current practice location is
55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(774) 441-6468.
Jena Lois Wise is licensed to practice in Massachusetts (license number PA9233) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841711132.
Healthcare Provider's Profile
| Full Name | Jena Lois Wise |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 55 Lake Ave N, Worcester, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841711132
- Provider Enumeration Date: 06/28/2017
- Last Update Date: 08/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335513977
- Enrollment ID: I20230321002282
Medical Identifiers
Medical identifiers for Jena Lois Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841711132 | NPI | - | NPPES |
| 110196252A | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 4295 (Massachusetts) | Secondary |
| 363A00000X | Physician Assistant | PA9233 (Massachusetts) | Primary |
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. Jena Lois 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 |
Jena Lois Wise, PA-C Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Jena Lois Wise, PA-C 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 441-6468 |
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