Larry Keith Wise, MD - Medicare Psychiatry in Salisbury, MD

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Larry Keith Wise, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Salisbury, Maryland. He graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Phc Meadowwood, Llc and his current practice location is 2336 Goddard Pkwy, Salisbury, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 334-6961.

Larry Keith Wise is licensed to practice in Maryland (license number D0051458) 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 1407982721.

Contact Information

Larry Keith Wise, MD
2336 Goddard Pkwy,
Salisbury, MD 21801-1126
(410) 334-6961
(410) 334-6362

Map and Direction




Physician's Profile

Full NameLarry Keith Wise
GenderMale
SpecialityPsychiatry
Experience34 Years
Location2336 Goddard Pkwy, Salisbury, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Larry Keith Wise graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1407982721
  • Provider Enumeration Date: 02/23/2007
  • Last Update Date: 04/28/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7416922851
  • Enrollment ID: I20111229000074

Medical Identifiers

Medical identifiers for Larry Keith Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407982721NPI-NPPES
R968OtherMDCAREFIRST BCBS
609550001MedicaidMD
930593249OtherORGROUP TAX ID #
609550002MedicaidMD
1225016561OtherORGROUP NPI #
LM49EAOtherMDCAREFIRST BCBS LOCAL
609550004MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD26174 (Oregon)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry D0051458 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phc Meadowwood, Llc93353188238

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. Larry Keith Wise allows following entities to bill medicare on his behalf.
Entity NameA Center for Mental Wellness, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639325822
PECOS PAC ID: 1456408897
Enrollment ID: O20090422000107
Entity NamePhc Meadowwood, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528357357
PECOS PAC ID: 9335318823
Enrollment ID: O20110927000062
Entity NameSun Behavioral Delaware LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891213179
PECOS PAC ID: 3072878867
Enrollment ID: O20190107000059

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. Larry Keith 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 AddressPractice Location Address
Larry Keith Wise, MD
2336 Goddard Pkwy,
Salisbury, MD 21801-1126

Ph: (410) 334-6961		Larry Keith Wise, MD
2336 Goddard Pkwy,
Salisbury, MD 21801-1126

Ph: (410) 334-6961

Reviews and Comments


Psychiatry & Neurology Doctors in Salisbury, MD

Dr. Vincent Charles Siracusano, MD
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Phone: 410-860-2673    Fax: 410-860-0450
Dr. Khalid Ahmed, MD
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Medicare: Medicare Enrolled
Practice Location: 2336 Goddard Pkwy, Salisbury, MD 21801
Phone: 410-334-6961    Fax: 410-334-6960
Ovais Khalid, M.D.
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Practice Location: 100 E Carroll St, Salisbury, MD 21801
Phone: 800-749-5191    
Eric Bin Liao, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 200 E Vine St, Salisbury, MD 21804
Phone: 410-912-5710    Fax: 202-591-3452
Dr. Mark David Walsh, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 106 Milford St, Suite 306, Salisbury, MD 21804
Phone: 410-677-6500    Fax: 410-677-6502
Dr. Kyle Jarrett Ward, DO, MS
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1104 Healthway Dr, Salisbury, MD 21804
Phone: 410-219-5483    Fax: 410-219-5486
Talmadge Curle Reeves, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 233 West Main Street, Salisbury, MD 21801
Phone: 410-749-0124    Fax: 410-546-4872

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.