Dr Paul Edward Wise, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Saint Louis, Missouri. He went to Johns Hopkins University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Washington University and his current practice location is
4921 Parkview Pl, Div Surg Colon/rectal, Ste 12b, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 454-7177.
Dr Paul Edward Wise is licensed to practice in Missouri (license number 2012011934) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619076056.
Physician's Profile
| Full Name | Dr Paul Edward Wise |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 28 Years |
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| Location | 4921 Parkview Pl, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Paul Edward Wise attended and graduated from Johns Hopkins University School Of Medicine in 1996
NPI Data:
- NPI Number: 1619076056
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 04/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901880699
- Enrollment ID: I20120803000718
Medical Identifiers
Medical identifiers for Dr Paul Edward Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619076056 | NPI | - | NPPES |
| 209625003 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 2012011934 (Missouri) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 2012011934 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Washington University | 9830008770 | 2506 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Paul Edward Wise allows following entities to bill medicare on his behalf.
| Entity Name | Washington University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134169568
PECOS PAC ID: 9830008770
Enrollment ID: O20040317000959 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Paul Edward Wise is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Paul Edward Wise, MD
Po Box 60352,
Saint Louis, MO 63160-0352
Ph: (314) 454-7177 | Dr Paul Edward Wise, MD
4921 Parkview Pl, Div Surg Colon/rectal, Ste 12b,
Saint Louis, MO 63110-1032
Ph: (314) 454-7177 |
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