| Dr Dana Wiseman, MD | |
|
40 Mansfield Ave, Willimantic, CT 06226-2018 | |
| (860) 450-7471 | |
| (860) 450-0213 |
| Full Name | Dr Dana Wiseman |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 40 Mansfield Ave, Willimantic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811930795 | NPI | - | NPPES |
| 01002768CT06 | Other | CT | ANTHEM BLUE CROSS & BLUE |
| 722627 | Other | CT | CONNECTICARE ID |
| HAP281 | Other | CT | OXFORD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29768 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dana Wiseman, MD 40 Mansfield Ave, Willimantic, CT 06226-2018 Ph: (860) 450-7471 | Dr Dana Wiseman, MD 40 Mansfield Ave, Willimantic, CT 06226-2018 Ph: (860) 450-7471 |
Carol Jean Annino, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 Fax: 860-450-0213 |
Lisa T Chadwick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Mansfield Ave, Willimantic, CT 06226 Phone: 860-450-7471 |
Nestor Enrique Torres, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 Main St, Willimantic, CT 06226 Phone: 860-450-7471 |