Dr Leon Wise, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Streator, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2006 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Central Illinois Radiological Associates Ltd, Cira Michigan Pc, Osf Multi-specialty Group and his current practice location is
111 Spring St, Streator, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 673-4642.
Dr Leon Wise is licensed to practice in Illinois (license number 036.123706) 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 1023221926.
Physician's Profile
| Full Name | Dr Leon Wise |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 20 Years |
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| Location | 111 Spring St, Streator, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Leon Wise attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2006
NPI Data:
- NPI Number: 1023221926
- Provider Enumeration Date: 05/07/2007
- Last Update Date: 10/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072777101
- Enrollment ID: I20120809000493
Medical Identifiers
Medical identifiers for Dr Leon Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023221926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 036.123706 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Illinois Radiological Associates Ltd | 9436061827 | 200 |
| Cira Michigan Pc | 7113355264 | 88 |
| Osf Multi-specialty Group | 3678889789 | 2110 |
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. Dr Leon Wise allows following entities to bill medicare on his behalf.
| Entity Name | Central Illinois Radiological Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538192828
PECOS PAC ID: 9436061827
Enrollment ID: O20031104000332 |
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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. Dr Leon 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 |
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Dr Leon Wise, MD
111 Oakwood Rd,
East Peoria, IL 61611-1853
Ph: (309) 740-4272 | Dr Leon Wise, MD
111 Spring St,
Streator, IL 61364-3332
Ph: (815) 673-4642 |
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