Elise Carolyn Wise, NURSE PRACTITIONER in Glendale, AZ

Elise Carolyn Wise, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glendale, Arizona. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southwest Network and her current practice location is 4425 W Olive Ave, Suite 200, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 937-9203.

Elise Carolyn Wise is licensed to practice in Arizona (license number AP3213) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245265917.

Contact Information

	Elise Carolyn Wise, NURSE PRACTITIONER
	4425 W Olive Ave, Suite 200, Glendale, AZ 85302-3843
	(623) 937-9203
	(623) 930-0358

Map and Direction

Provider's Profile

Full Name	Elise Carolyn Wise
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	4425 W Olive Ave, Glendale, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elise Carolyn Wise graduated from nursing school in 2007

NPI Data:

NPI Number: 1245265917
Provider Enumeration Date: 07/11/2006
Last Update Date: 11/01/2013

Medicare PECOS Information:

PECOS PAC ID: 9739257098
Enrollment ID: I20110607000013

Medical Identifiers

Medical identifiers for Elise Carolyn Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245265917	NPI	-	NPPES
AP 1011	Other	AZ	FAMILY NURSE PRACTITIONER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP3213 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Network	2567560659	23

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. Elise Carolyn Wise allows following entities to bill medicare on her behalf.

Entity Name	Southwest Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104856004 PECOS PAC ID: 2567560659 Enrollment ID: O20070613000698

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

Entity Name	Monarch Health And Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518630276 PECOS PAC ID: 8022408517 Enrollment ID: O20211123002228

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. Elise Carolyn 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 Address	Practice Location Address
Elise Carolyn Wise, NURSE PRACTITIONER 4425 W Olive Ave, Suite 200, Glendale, AZ 85302-3843 Ph: (623) 937-9203	Elise Carolyn Wise, NURSE PRACTITIONER 4425 W Olive Ave, Suite 200, Glendale, AZ 85302-3843 Ph: (623) 937-9203

Reviews and Comments

Nurse Practitioner Nurses in Glendale, AZ

Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4442 Fax: 602-865-4507
Kaitlin Spivey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2100
Ruth E Sanders, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5041 N 86th Dr, Glendale, AZ 85305 Phone: 866-389-2727 Fax: 612-659-7101
Ms. Christa L O'mara, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2108
Emma Louise Keltgen, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 Fax: 602-286-0808
Joyce Kim, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-773-5546
Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381

Elise Carolyn Wise, NURSE PRACTITIONER - Medicare Nurse Practitioner in Glendale, AZ