Marshall T Wise, MD is a medicare enrolled "Allergy & Immunology" physician in Georgetown, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 2002 and has 24 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is
200 Bevins Ln Ste E, Georgetown, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(800) 999-1249.
Marshall T Wise is licensed to practice in Kentucky (license number 41014) 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 1427105394.
Physician's Profile
| Full Name | Marshall T Wise |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 24 Years |
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| Location | 200 Bevins Ln Ste E, Georgetown, Kentucky |
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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. |
Medical Education and Training:
- Marshall T Wise attended and graduated from University Of Louisville School Of Medicine in 2002
NPI Data:
- NPI Number: 1427105394
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 07/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 9537251541
- Enrollment ID: I20070822001098
Medical Identifiers
Medical identifiers for Marshall T Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427105394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207K00000X | Allergy & Immunology | 41014 (Kentucky) | Primary |
| 207K00000X | Allergy & Immunology | 35.099667 (Ohio) | Secondary |
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. Marshall T Wise allows following entities to bill medicare on his behalf.
| Entity Name | Allergy Partners Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083604409 PECOS PAC ID: 7113822420 Enrollment ID: O20040910000085 |
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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. Marshall T 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 |
Marshall T Wise, MD 9800 Shelbyville Rd Ste 220, Louisville, KY 40223-5440 Ph: (800) 999-1249 | Marshall T Wise, MD 200 Bevins Ln Ste E, Georgetown, KY 40324-8532 Ph: (800) 999-1249 |
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