Dr Richard John Wiseman, MD | |
2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613-2968 | |
(512) 345-8970 | |
(512) 345-6689 |
Full Name | Dr Richard John Wiseman |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2500 S Lakeline Blvd Ste 100, Cedar Park, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497800304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F0084 (Texas) | Primary |
Entity Name | Wiseman Family Practice Pllc |
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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 |
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Dr Richard John Wiseman, MD 2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613-2968 Ph: (512) 345-8970 | Dr Richard John 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: Medicare Enrolled 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 | |
Dr. Jeremy Douglas Wiseman, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2500 S Lakeline Blvd Ste 100, Cedar Park, TX 78613 Phone: 512-345-8970 Fax: 512-345-6689 |