| Benjamin Ernest Wiseman, MD | |
| 830 S Gloster St, Tupelo, MS 38801 | |
| (662) 377-4394 | |
| (662) 377-7045 | 
| Full Name | Benjamin Ernest Wiseman | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology - Pain Medicine | 
| Location | 830 S Gloster St, Tupelo, Mississippi | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649289794 | NPI | - | NPPES | 
| 00681735 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 18380 (Mississippi) | Secondary | 
| 207LP2900X | Anesthesiology - Pain Medicine | 18380 (Mississippi) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Benjamin Ernest Wiseman, MD Po Box 3294, Tupelo, MS 38803 Ph: (662) 377-4394 | Benjamin Ernest Wiseman, MD 830 S Gloster St, Tupelo, MS 38801 Ph: (662) 377-4394 | 
| Matthew Martin Myers, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045 | |
| John Howard Douglas Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045 | |
| Molli Floyd, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045 | |
| Dr. Robert Fulton Thompson Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045 | |
| Peggy L Boles, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 | |
| Anthony Ray Eldridge, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045 | |
| Martha Jane Blanche, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 830 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045 |