| Dr Oliver Jayme Wisco, DO | |
|
Dermatology Health Spcecialist, 1693 Sw Chandler Ave Suite 250, Bend, OR 97702-3231 | |
| (541) 382-8819 | |
| Not Available |
| Full Name | Dr Oliver Jayme Wisco |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 23 Years |
| Location | Dermatology Health Spcecialist, Bend, Oregon |
| 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 |
|---|---|---|---|
| 1164545166 | NPI | - | NPPES |
| 12729019 | Other | OR | CAQH |
| 500674728 | Medicaid | OR |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harney District Hospital | Burns, OR | Hospital |
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Health Specialists, Pc | 7214260603 | 6 |
| Brown Dermatology Inc | 3870872773 | 27 |
| Harney District Hospital | 6800877424 | 28 |
| Entity Name | Blue Mountain Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568536035 PECOS PAC ID: 5193719219 Enrollment ID: O20040412001588 |
| Entity Name | Lake Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376698522 PECOS PAC ID: 4284629221 Enrollment ID: O20040419000549 |
| Entity Name | Harney District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20040528000077 |
| Entity Name | Harney District Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20061104000508 |
| Entity Name | Blue Mountain Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356414395 PECOS PAC ID: 5193719219 Enrollment ID: O20061104000510 |
| Entity Name | Dermatology Health Specialists, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447713573 PECOS PAC ID: 7214260603 Enrollment ID: O20190618001978 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Oliver Jayme Wisco, DO 110 Elm St, Providence, RI 02903-4626 Ph: (401) 443-4992 | Dr Oliver Jayme Wisco, DO Dermatology Health Spcecialist, 1693 Sw Chandler Ave Suite 250, Bend, OR 97702-3231 Ph: (541) 382-8819 |
Dr. Stephanie Alice Trautman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2747 Ne Conners Ave, Bend, OR 97701 Phone: 541-382-5712 | |
Dr. Andrew O Jensen, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 | |
Dr. James Michael Hoesly, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-322-3504 | |
Fridolin Hoesly, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2747 Ne Conners Ave, Bend, OR 97701 Phone: 541-382-5712 | |
Mrs. Jill M Olinger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 815 Sw Bond St, Bend, OR 97702 Phone: 541-382-2811 | |
Ms. Kristin Jayne Neuhaus, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2747 Ne Conners Ave, Bend, OR 97701 Phone: 541-382-5712 |