Jessica Wise, MD in Fort Walton Beach, FL

Jessica Wise, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Fort Walton Beach, Florida. Her current practice location is 320 Racetrack Rd Nw Ste 100b, Fort Walton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 374-9610.

Jessica Wise is licensed to practice in Florida (license number 158015) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336594050.

Contact Information

	Jessica Wise, MD
	320 Racetrack Rd Nw Ste 100b, Fort Walton Beach, FL 32547-1796
	(850) 374-9610
	(850) 374-9611

Map and Direction

Physician's Profile

Full Name	Jessica Wise
Gender	Female
Speciality	Surgery - Surgical Critical Care
Location	320 Racetrack Rd Nw Ste 100b, Fort Walton Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336594050
Provider Enumeration Date: 05/01/2016
Last Update Date: 07/26/2022

Medicare PECOS Information:

PECOS PAC ID: 6608250014
Enrollment ID: I20220902002517

Medical Identifiers

Medical identifiers for Jessica Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336594050	NPI	-	NPPES
1336594050	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0127X	Surgery - Trauma Surgery	158015 (Florida)	Secondary
208600000X	Surgery	158015 (Florida)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2086S0102X	Surgery - Surgical Critical Care	158015 (Florida)	Primary

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. Jessica Wise allows following entities to bill medicare on her behalf.

Entity Name	Northwest Florida Multispecialty Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790912269 PECOS PAC ID: 5597801779 Enrollment ID: O20090930000747

Entity Name	Florida Trauma Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477296952 PECOS PAC ID: 3971985938 Enrollment ID: O20220808001578

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. Jessica 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
Jessica Wise, MD 320 Racetrack Rd Nw Ste 100b, Fort Walton Beach, FL 32547-1796 Ph: (850) 374-9610	Jessica Wise, MD 320 Racetrack Rd Nw Ste 100b, Fort Walton Beach, FL 32547-1796 Ph: (850) 374-9610

Reviews and Comments

Surgery Doctors in Fort Walton Beach, FL

John Christofer Dali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 999 Mar Walt Drive, White-wilson East Building, Fort Walton Beach, FL 32547 Phone: 850-863-8269 Fax: 850-862-7965
Emilio Claudio Calabrese, MD Surgery Medicare: Medicare Enrolled Practice Location: 2010 Lewis Turner Blvd, Fort Walton Beach, FL 32547 Phone: 850-460-0052 Fax: 844-341-2523
Dr. Robert Lane Rogers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 999 Mar Walt Drive, White-wilson East Building, Fort Walton Beach, FL 32547 Phone: 850-863-8255 Fax: 850-862-7965
Dr. Michael Lee Miller, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 11 Racetrack Rd Ne, Suite E4, Fort Walton Beach, FL 32547 Phone: 850-200-4574
Dr. Patrick Thomas Mcgraw, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547 Phone: 850-864-4033 Fax: 850-864-4076
Dr. Michael William Restey, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7566

Jessica Wise, MD - Medicare Surgery in Fort Walton Beach, FL