| Deanne Wise, | |
|
22999 Highway 59 N, Kingwood, TX 77339-4412 | |
| (281) 348-8600 | |
| Not Available |
| Full Name | Deanne Wise |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 22999 Highway 59 N, Kingwood, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689339608 | NPI | - | NPPES |
| 1689339608 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1058125 (Texas) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 1058125 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kingwood Medical Center | Kingwood, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Post-acute Physicians Of Texas Pllc | 1456576248 | 17 |
| Entity Name | Post-acute Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770903221 PECOS PAC ID: 1456576248 Enrollment ID: O20140711000731 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanne Wise, 1776 Woodstead Ct Ste 208, The Woodlands, TX 77380-1480 Ph: (877) 749-7428 | Deanne Wise, 22999 Highway 59 N, Kingwood, TX 77339-4412 Ph: (281) 348-8600 |
Samantha Marie Herman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22710 Professional Dr Ste 203, Kingwood, TX 77339 Phone: 281-312-8530 Fax: 281-719-5916 | |
Mr. David Allen Powell, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 281-348-8000 | |
Aminata Wane, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Kingwood Medical Dr Ste A450, Kingwood, TX 77339 Phone: 832-701-0283 | |
Lindsay Raye Reuter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2621 Sandy Lodge Ct, Kingwood, TX 77345 Phone: 985-778-5496 | |
Michael Pacifico Conde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 281-348-8000 | |
Catherine Anne Nixon, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22999 Us-59 N, Kingwood, TX 77339 Phone: 281-348-8300 | |
Darra Bayer, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 281-348-8530 |