Elliott Wise, PA-C - Medicare Physician Assistant in Maple Grove, MN

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Elliott Wise, PA-C is a medicare enrolled "Physician Assistant" in Maple Grove, Minnesota. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Interventional Spine And Pain Physicians Pa and his current practice location is 9645 Grove Cir N Ste 200, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 201-8191.

Elliott Wise is licensed to practice in Minnesota (license number 11264) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477818292.

Contact Information

Elliott Wise, PA-C
9645 Grove Cir N Ste 200,
Maple Grove, MN 55369-2684
(763) 201-8191
(763) 201-8192

Map and Direction




Provider's Profile

Full NameElliott Wise
GenderMale
SpecialityPhysician Assistant
Experience14 Years
Location9645 Grove Cir N Ste 200, Maple Grove, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elliott Wise graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1477818292
  • Provider Enumeration Date: 07/09/2012
  • Last Update Date: 07/31/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5294988341
  • Enrollment ID: I20130123000473

Medical Identifiers

Medical identifiers for Elliott Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477818292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 11264 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Interventional Spine And Pain Physicians Pa246660626442

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. Elliott Wise allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811077175
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameInterventional Spine and Pain Physicians PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326398561
PECOS PAC ID: 2466606264
Enrollment ID: O20130201000353

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. Elliott 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 AddressPractice Location Address
Elliott Wise, PA-C
9645 Grove Cir N Ste 200,
Maple Grove, MN 55369-2684

Ph: (763) 201-8191		Elliott Wise, PA-C
9645 Grove Cir N Ste 200,
Maple Grove, MN 55369-2684

Ph: (763) 201-8191

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.