Benjamin Richard Wiseley, MD in Fond Du Lac, WI

Benjamin Richard Wiseley, MD is a medicare enrolled "Orthopaedic Surgery" physician in Fond Du Lac, Wisconsin. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Agnesian Healthcare Inc and his current practice location is 421 Camelot Dr, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-8616.

Benjamin Richard Wiseley is licensed to practice in Wisconsin (license number 66414) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174919484.

Contact Information

	Benjamin Richard Wiseley, MD
	421 Camelot Dr, Fond Du Lac, WI 54935-8335
	(920) 926-8616
	Not Available

Map and Direction

Physician's Profile

Full Name	Benjamin Richard Wiseley
Gender	Male
Speciality	Orthopedic Surgery
Experience	9 Years
Location	421 Camelot Dr, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Benjamin Richard Wiseley graduated from medical school in 2015

NPI Data:

NPI Number: 1174919484
Provider Enumeration Date: 04/13/2015
Last Update Date: 12/03/2020

Medicare PECOS Information:

PECOS PAC ID: 1658688726
Enrollment ID: I20200901000130

Medical Identifiers

Medical identifiers for Benjamin Richard Wiseley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174919484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	66414 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Agnes Hospital	Fond du lac, WI	Hospital
Ripon Medical Center	Ripon, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agnesian Healthcare Inc	1658289624	319

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. Benjamin Richard Wiseley allows following entities to bill medicare on his behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. Benjamin Richard Wiseley 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
Benjamin Richard Wiseley, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8616	Benjamin Richard Wiseley, MD 421 Camelot Dr, Fond Du Lac, WI 54935-8335 Ph: (920) 926-8616

Reviews and Comments

Orthopaedic Surgery Doctors in Fond Du Lac, WI

Alan W Roetker, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616
Michael R Magoline, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616 Fax: 920-926-8098
Glen J Kemp Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616 Fax: 920-926-8098
Karl Pennau, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616
Michael D Mannebach, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616
Dr. Clark Pomeroy Searle Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616

Benjamin Richard Wiseley, MD - Medicare Orthopedic Surgery in Fond Du Lac, WI