| Dr Jeremy Douglas Wiseman, MD | |
|
2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613-2968 | |
| (512) 345-8970 | |
| (512) 345-6689 |
| Full Name | Dr Jeremy Douglas Wiseman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 2500 S Lakeline Blvd Ste 100, Cedar Park, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114188497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M9746 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St David's Medical Center | Austin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The West Texas Rehabilitation Center | 2860301215 | 376 |
| Wiseman Family Practice Pllc | 9739491564 | 27 |
| Entity Name | Wiseman Family Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598195042 PECOS PAC ID: 9739491564 Enrollment ID: O20150707002742 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Douglas Wiseman, MD 2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613-2968 Ph: (512) 345-8970 | Dr Jeremy Douglas Wiseman, MD 2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613-2968 Ph: (512) 345-8970 |
Bryan K Morrison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Whitestone Blvd, Bldg C, Cedar Park, TX 78613 Phone: 512-259-3467 Fax: 512-406-7303 | |
Dr. Melissa Jeanine Urrea, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 South Bell Blvd, Suite 104, Cedar Park, TX 78613 Phone: 512-258-1645 Fax: 512-258-2586 | |
Mark D Carlson, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1905 S Lakeline Blvd Ste 4, Cedar Park, TX 78613 Phone: 512-553-1921 | |
Dr. Enas L Pruitt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 E Whitestone Blvd Ste B, Cedar Park, TX 78613 Phone: 512-259-3467 Fax: 512-406-7303 | |
Dr. Nkechinyere Udenyi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3240 E Whitestone Blvd Unit 48, Cedar Park, TX 78613 Phone: 510-334-4171 Fax: 859-757-0312 | |
Jasmine Kim Oliveira, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 E Whitestone Blvd, Cedar Park, TX 78613 Phone: 512-260-6100 |