Jamie R Wiseman, MD is a
Family Medicine physician based in Comfort, Texas. Jamie R Wiseman is licensed to practice in Texas (license number Q1331) and her current practice location is 10012 N Creek Rd, Comfort, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 326-6098.
NPI number for Jamie R Wiseman is 1023394970 and her current mailing address is 10012 N Creek Rd, Comfort, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023394970.
Physician's Profile
| Full Name | Jamie R Wiseman |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
|---|
| Location | 10012 N Creek Rd, Comfort, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023394970
- Provider Enumeration Date: 10/24/2011
- Last Update Date: 06/09/2019
Medical Identifiers
Medical identifiers for Jamie R Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023394970 | NPI | - | NPPES |
| 1023394970 | Other | WI | BCBCWI |
| 1023394970 | Medicaid | WI | |
| 158697344 1 | Medicaid | IL | |
| 1622061 | Medicaid | AK | |
| HITCHJAM | Other | WI | MERCYCARE INSURANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 8301 (Alaska) | Secondary |
| 207Q00000X | Family Medicine | 57425-20 (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 3956-850 (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 57425-20 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | Q1331 (Texas) | Primary |
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. Jamie R Wiseman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jamie R Wiseman, MD 10012 N Creek Rd, Comfort, TX 78013-3700 Ph: (210) 326-6098 | Jamie R Wiseman, MD 10012 N Creek Rd, Comfort, TX 78013-3700 Ph: (210) 326-6098 |
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