| Jeffrey J Wise, MD | |
|
52 W Shirley Ave, Warrenton, VA 20186 | |
| (540) 347-9220 | |
| (540) 347-0342 |
| Full Name | Jeffrey J Wise |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 52 W Shirley Ave, Warrenton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609893155 | NPI | - | NPPES |
| 328930 | Other | VA | ANTHEM |
| 6407391 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 101059130 (Virginia) | Primary |
| Entity Name | Blue Ridge Orthopaedic Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508959701 PECOS PAC ID: 6800885310 Enrollment ID: O20040510001256 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey J Wise, MD 52 W Shirley Ave, Warrenton, VA 20186 Ph: (540) 347-9220 | Jeffrey J Wise, MD 52 W Shirley Ave, Warrenton, VA 20186 Ph: (540) 347-9220 |
Christopher J Brown, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 52 W Shirley Ave, Warrenton, VA 20186 Phone: 540-347-9220 Fax: 540-347-0342 | |
Anna Hsieh Green, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 52 W Shirley Ave, Warrenton, VA 20186 Phone: 540-347-9220 | |
David M Snyder, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 523 W Shirley Ave, Warrenton, VA 20186 Phone: 540-347-9220 Fax: 540-347-0342 | |
Robert T Smith Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 52 West Shirley Avenue, Warrenton, VA 20186 Phone: 540-347-9220 Fax: 540-347-0492 | |
Eleana Marie Cook, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 52 W Shirley Ave, Warrenton, VA 20186 Phone: 540-347-9220 | |
Robert C Dart, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 52 W Shirley Ave, Warrenton, VA 20186 Phone: 540-347-9220 Fax: 540-347-0342 |