| Andrea E Wismann, MD | |
|
6951 Se 15th St, Midwest City, OK 73110-2748 | |
| (405) 233-0450 | |
| (405) 984-4407 |
| Full Name | Andrea E Wismann |
|---|---|
| Gender | Female |
| Speciality | Geriatric Medicine |
| Experience | 17 Years |
| Location | 6951 Se 15th St, Midwest City, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073756045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 39061 (Oklahoma) | Primary |
| 207Q00000X | Family Medicine | DR0051260 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| O U Medical Center | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ou Health Partners Inc | 5991105876 | 949 |
| Entity Name | Ou Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea E Wismann, MD 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 Ph: (888) 987-1151 | Andrea E Wismann, MD 6951 Se 15th St, Midwest City, OK 73110-2748 Ph: (405) 233-0450 |
Tracy Adelle Kidwell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-741-7722 Fax: 405-741-7757 | |
Ryan M Biggers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1212 S Douglas Blvd, Midwest City, OK 73130 Phone: 405-736-6811 Fax: 405-736-6863 | |
Dr. Wesley Williams, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1636 Midtown Pl, Midwest City, OK 73130 Phone: 405-869-7700 | |
Dr. Joshua Scott Smith, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 8800 Se 15th St, Midwest City, OK 73110 Phone: 405-739-6840 | |
Dr. Michael Terry Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8800 Se 15, Midwest City, OK 73110 Phone: 405-739-6840 Fax: 405-455-3087 | |
Mrs. Elizabeth Louise Rouse, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6520 E Reno Ave, Ste B, Midwest City, OK 73110 Phone: 405-733-0120 Fax: 405-733-7877 |