| Dr Michael C Wismer, MD | |
|
16792 Conneaut Lake Rd, Meadville, PA 16335-3748 | |
| (814) 373-2335 | |
| (814) 373-2338 |
| Full Name | Dr Michael C Wismer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 16792 Conneaut Lake Rd, Meadville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265960702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 271196 (Massachusetts) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | MD482335 (Pennsylvania) | Primary |
| Entity Name | Meadville Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1326139775 PECOS PAC ID: 4284535790 Enrollment ID: O20060112000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael C Wismer, MD 1034 Grove St, Meadville, PA 16335-2945 Ph: (814) 333-5000 | Dr Michael C Wismer, MD 16792 Conneaut Lake Rd, Meadville, PA 16335-3748 Ph: (814) 373-2335 |
Christian Ivan Rosero Llerena, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 764 Kennedy St Ste 101, Meadville, PA 16335 Phone: 814-373-2195 Fax: 814-373-2197 | |
Christopher Thomas, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 765 Liberty St, Suite # 307, Meadville, PA 16335 Phone: 814-336-1140 Fax: 814-724-2196 | |
Dr. Manuel F Forero, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 287 North St, Meadville, PA 16335 Phone: 814-337-2355 Fax: 814-337-3751 | |
Anne-lise Armstrong, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 991 Park Ave, Meadville, PA 16335 Phone: 814-373-4298 Fax: 814-724-2196 | |
J. Thomas Arno, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 765 Liberty St, Suite 105, Meadville, PA 16335 Phone: 814-373-2310 Fax: 814-373-2313 | |
Charlotte Bowen Wagamon, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 15957 Conneaut Lake Road Suite 3, Meadville, PA 16335 Phone: 440-858-3175 Fax: 814-724-5295 | |
Jason W Brown, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 16792 Conneaut Lake Rd, Meadville, PA 16335 Phone: 814-373-2335 Fax: 814-373-2338 |