Ms Jessica Kathryn Wise, MD in Evansville, IN

Ms Jessica Kathryn Wise, MD is a medicare enrolled "Surgery" physician in Evansville, Indiana. Her current practice location is 520 Mary St Ste 520, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 424-8231.

Ms Jessica Kathryn Wise is licensed to practice in Indiana (license number PENDING) 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 1487117123.

Contact Information

	Ms Jessica Kathryn Wise, MD
	520 Mary St Ste 520, Evansville, IN 47710-1682
	(812) 424-8231
	(812) 435-8794

Map and Direction

Physician's Profile

Full Name	Ms Jessica Kathryn Wise
Gender	Female
Speciality	Surgery
Location	520 Mary St Ste 520, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487117123
Provider Enumeration Date: 04/10/2019
Last Update Date: 10/01/2025

Medicare PECOS Information:

PECOS PAC ID: 9335659093
Enrollment ID: I20250611001618

Medical Identifiers

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

Identifier	Type	State	Issuer
1487117123	NPI	-	NPPES
076217	Other	PA	CERTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	PENDING (Indiana)	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. Ms Jessica Kathryn Wise allows following entities to bill medicare on her behalf.

Entity Name	Long Island Laparoscopic Surgery Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881997724 PECOS PAC ID: 9830523117 Enrollment ID: O20191219000153

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. Ms Jessica Kathryn 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
Ms Jessica Kathryn Wise, MD 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231	Ms Jessica Kathryn Wise, MD 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231

Reviews and Comments

Surgery Doctors in Evansville, IN

Dawn M Burgess, RNFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 2701 Lincoln Ave, Evansville, IN 47714 Phone: 812-476-4400 Fax: 812-476-0300
Dr. Santi Vibul, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 520 Mary St, Suite 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8782
Dr. Samir K. Gupta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794
Dr. Anthony David Kaiser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794
Dr. Brian W Schymik, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794
Dr. Prasad V Gade, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794
Dr. Katherine Mckenna Kottwitz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 111 S Green River Rd Ste F, Evansville, IN 47715 Phone: 812-436-1203

Ms Jessica Kathryn Wise, MD - Medicare Surgery in Evansville, IN