| Dr Benjamin Wisner, MD | |
|
2315 E Harmony Rd, Ste 140, Fort Collins, CO 80528-8620 | |
| (970) 484-6700 | |
| (970) 484-5723 |
| Full Name | Dr Benjamin Wisner |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 22 Years |
| Location | 2315 E Harmony Rd, Fort Collins, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396891982 | NPI | - | NPPES |
| 02452049 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 48586 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santa Barbara Cottage Hospital | Santa barbara, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sansum Clinic | 3678471976 | 290 |
| Entity Name | Sansum Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154354504 PECOS PAC ID: 3678471976 Enrollment ID: O20031223000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Wisner, MD 2315 E Harmony Rd, Ste 140, Fort Collins, CO 80528-8620 Ph: (970) 484-6700 | Dr Benjamin Wisner, MD 2315 E Harmony Rd, Ste 140, Fort Collins, CO 80528-8620 Ph: (970) 484-6700 |
Dr. Stephen P Brutscher, D.O. Urology Medicare: Not Enrolled in Medicare Practice Location: 2315 E Harmony Rd, Ste 140, Fort Collins, CO 80528 Phone: 970-484-6700 Fax: 970-484-5723 | |
Dr. Andrew Bachman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd Ste 140, Fort Collins, CO 80528 Phone: 970-484-6700 Fax: 970-484-5723 | |
Dr. Michael R Lee, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd, Suite 140, Fort Collins, CO 80528 Phone: 970-484-6700 Fax: 970-484-5723 | |
Dr. Benjamin J Girdler, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd, Suite 140, Fort Collins, CO 80528 Phone: 970-484-6700 Fax: 970-484-5723 | |
Randy W Everett, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd, Ste 140, Fort Collins, CO 80528 Phone: 970-484-6700 Fax: 970-484-5723 | |
Dr. Timothy H Soper, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd, Suite 140, Fort Collins, CO 80528 Phone: 970-484-6700 Fax: 970-484-5723 | |
Clifford J Nemeth, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2315 E Harmony Rd, Ste 140, Fort Collins, CO 80528 Phone: 970-484-6700 Fax: 970-484-5723 |