| Courtney Wiseman, PA | |
|
18144 Seco St, Jamestown, CA 95327-9498 | |
| (209) 984-4820 | |
| (209) 984-4825 |
| Full Name | Courtney Wiseman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 18144 Seco St, Jamestown, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144769332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-07098 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 57620 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Wiseman, PA Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-1246 | Courtney Wiseman, PA 18144 Seco St, Jamestown, CA 95327-9498 Ph: (209) 984-4820 |
David Benjamin Demattei, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 18144 Seco St, Jamestown, CA 95327 Phone: 209-984-4820 Fax: 209-984-4825 | |
Alexandra Maria Faria, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18144 Seco St, Jamestown, CA 95327 Phone: 209-984-4820 | |
Kimberly Schauer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18144 Seco St, Jamestown, CA 95327 Phone: 209-984-4820 |