| Marc S Wise, MD | |
|
1 Medical Center Dr, Franklin, OH 45005-2584 | |
| (513) 312-3656 | |
| Not Available |
| Full Name | Marc S Wise |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1 Medical Center Dr, Franklin, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417908385 | NPI | - | NPPES |
| 000000481153 | Other | OH | BCBS FAIRFIELD |
| 000000375342 | Other | OH | BCBS MEMORIAL |
| 000000375345 | Other | OH | BCBS CIRCLEVILLE |
| 000000487936 | Other | OH | BCBS MIDDLETOWN |
| 2603552 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35085676 (Ohio) | Primary |
| 207P00000X | Emergency Medicine | 26113 (Nebraska) | Secondary |
| Entity Name | Miami Valley Emergency Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821189085 PECOS PAC ID: 9537064183 Enrollment ID: O20031205000322 |
| Entity Name | Phs Emergency Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578387486 PECOS PAC ID: 7810426947 Enrollment ID: O20250117002759 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc S Wise, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Marc S Wise, MD 1 Medical Center Dr, Franklin, OH 45005-2584 Ph: (513) 312-3656 |
John L Lyman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Franklin, OH 45005 Phone: 513-312-3656 | |
Dr. Sheri Gladish, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Conover Dr, Franklin, OH 45005 Phone: 937-746-8795 Fax: 937-746-7062 | |
Joan M Kolodzik, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Franklin, OH 45005 Phone: 513-312-3656 | |
Dr. Tina Sabzevari Kummerle, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Franklin, OH 45005 Phone: 800-875-0136 | |
Ralph H Talkers, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Franklin, OH 45005 Phone: 513-312-3656 | |
James Michael Ward Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Franklin, OH 45005 Phone: 513-312-3656 |