| David Wiseman, PA-C | |
|
101 Clinic Dr, Tarboro, NC 27886-1935 | |
| (252) 823-2105 | |
| (252) 824-7653 |
| Full Name | David Wiseman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 101 Clinic Dr, Tarboro, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306987920 | NPI | - | NPPES |
| 89130F0 | Medicaid | NC | |
| 136YA | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 102519 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 986 |
| Entity Name | Vidant Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Prime Care Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700976701 PECOS PAC ID: 9830265578 Enrollment ID: O20080904000272 |
| Mailing Address | Practice Location Address |
|---|---|
| David Wiseman, PA-C 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-2105 | David Wiseman, PA-C 101 Clinic Dr, Tarboro, NC 27886-1935 Ph: (252) 823-2105 |
Kimberly Ann Obrien, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-4245 |
Mr. Thomas John Galisin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2906 N Main St, Tarboro, NC 27886 Phone: 252-823-7212 Fax: 252-641-7286 |
Jay R Oswald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Clinic Dr, Tarboro, NC 27886 Phone: 252-823-7288 |
Brooke Morgan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 111 Hospital Dr, Tarboro, NC 27886 Phone: 252-641-7700 |
Mr. Ryland Lee Johnson Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2906 N Main St, Tarboro, NC 27886 Phone: 252-823-7212 |
Ann Gielyn Silva-abueg Konzem, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2906 N Main St, Tarboro, NC 27886 Phone: 252-823-7212 |
Mr. Paul Natale Lanfranchi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2906 N Main St, Tarboro, NC 27886 Phone: 252-823-7212 Fax: 252-641-7286 |