Dr Mark Edwin Wisner, PHD, PA-C - Physician Assistant in Leavenworth, KS

Dr Mark Edwin Wisner, PHD, PA-C is a Physician Assistant - Medical based in Leavenworth, Kansas. Dr Mark Edwin Wisner is licensed to practice in Kansas (license number PA 15-000385) and his current practice location is 4101 S 4th St, Vamc Rm. A541, Leavenworth, Kansas. He can be reached at his office (for appointments etc.) via phone at (913) 758-5416.

NPI number for Dr Mark Edwin Wisner is 1598771586 and his current mailing address is 4101 S 4th St, Vamc Rm. A541, Leavenworth, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598771586.

Contact Information

Dr Mark Edwin Wisner, PHD, PA-C
4101 S 4th St, Vamc Rm. A541,
Leavenworth, KS 66048-5014
(913) 758-5416
(913) 758-4219

Map and Direction




Provider's Profile

Full NameDr Mark Edwin Wisner
GenderMale
SpecialityPhysician Assistant - Medical
Location4101 S 4th St, Leavenworth, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598771586
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 09/23/2010

Medical Identifiers

Medical identifiers for Dr Mark Edwin Wisner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598771586NPI-NPPES
100340730AMedicaidKS
426715OtherKSBLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA 15-000385 (Kansas)Primary
363AS0400XPhysician Assistant - Surgical PA-15-000385 (Kansas)Secondary

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. Dr Mark Edwin Wisner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark Edwin Wisner, PHD, PA-C
4101 S 4th St, Vamc Rm. A541,
Leavenworth, KS 66048-5014

Ph: (913) 758-5416
Dr Mark Edwin Wisner, PHD, PA-C
4101 S 4th St, Vamc Rm. A541,
Leavenworth, KS 66048-5014

Ph: (913) 758-5416

Reviews and Comments


Physician Assistant Nurses in Leavenworth, KS

Charles C Glass, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3550 S 4th St Ste 250, Leavenworth, KS 66048
Phone: 913-565-2569    Fax: 913-565-2571
Jarod Joseph Marcotte, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3550 S 4th St Ste 200, Leavenworth, KS 66048
Phone: 913-680-6442    Fax: 913-351-1346
Mr. Douglas A Kaufman, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2000    
Lorree Huffman, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-682-2000    Fax: 913-758-4119
Wanda Johnston, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4101 S 4th St, Leavenworth, KS 66048
Phone: 913-758-9600    
Thuy Le Petersen, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Metropolitan Ave, Leavenworth, KS 66048
Phone: 913-682-8700    
Jill Marie Davis, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 500 Limit St, Leavenworth, KS 66048
Phone: 913-682-5118    Fax: 913-682-4664

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).

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