Blakely David Wise, PA - Medicare Physician Assistant in Cornelius, NC

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Blakely David Wise, PA is a medicare enrolled "Physician Assistant" in Cornelius, North Carolina. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Atrium Health North Market Network Llc and his current practice location is 20036 Zion Ave, Ste 100, Cornelius, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 801-7400.

Blakely David Wise is licensed to practice in North Carolina (license number 0010-08866) 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 1396201935.

Contact Information

Blakely David Wise, PA
20036 Zion Ave, Ste 100,
Cornelius, NC 28031-8435
(704) 801-7400
Not Available

Map and Direction




Provider's Profile

Full NameBlakely David Wise
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location20036 Zion Ave, Cornelius, North Carolina
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:
  • Blakely David Wise graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1396201935
  • Provider Enumeration Date: 02/19/2019
  • Last Update Date: 09/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8628311636
  • Enrollment ID: I20190515000125

Medical Identifiers

Medical identifiers for Blakely David Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396201935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-08866 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital
Atrium Health University CityCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atrium Health North Market Network Llc1557743440158

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. Blakely David Wise allows following entities to bill medicare on his behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameArboretum Urgent Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457380313
PECOS PAC ID: 8325059991
Enrollment ID: O20060510000344
Entity NameAtrium Health North Market Network LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871112920
PECOS PAC ID: 1557743440
Enrollment ID: O20220809003741

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. Blakely David 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
Blakely David Wise, PA
Po Box 19305,
Charlotte, NC 28219-9305

Ph: Not Available		Blakely David Wise, PA
20036 Zion Ave, Ste 100,
Cornelius, NC 28031-8435

Ph: (704) 801-7400

Reviews and Comments


Physician Assistant Nurses in Cornelius, NC

Lauren Bennett Cress, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 17078 Nat Bynum Ln Unit 3, Cornelius, NC 28031
Phone: 704-324-3975    
David Justin Drago, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 210, Cornelius, NC 28031
Phone: 704-316-1830    Fax: 704-316-1835
Alexandra Michele Dixon, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 210, Cornelius, NC 28031
Phone: 704-316-1830    
Kristen Elizabeth Vance, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 210, Cornelius, NC 28031
Phone: 704-316-1830    
Eric Allan Chandley, PA-C, DC
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 210, Suite 210, Cornelius, NC 28031
Phone: 704-316-1830    Fax: 704-316-1835
Mr. Scott Brandon Webster, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 19485 Old Jetton Rd Ste 210, Cornelius, NC 28031
Phone: 704-316-1830    
Michael B Durbin, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 17078 Nat Bynum Ln Unit 3, Cornelius, NC 28031
Phone: 704-324-3975    Fax: 704-324-3974

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.