| John David Wise, PA | |
|
2793 Lineville Rd, Green Bay, WI 54313-7152 | |
| (920) 496-4700 | |
| (920) 496-4705 |
| Full Name | John David Wise |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 2793 Lineville Rd, Green Bay, Wisconsin |
| 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 |
|---|---|---|---|
| 1093739724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.009449 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 941 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Memorial Hospital Inc | 8820900749 | 685 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
| Mailing Address | Practice Location Address |
|---|---|
| John David Wise, PA Po Box 19070, Prevea Health, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | John David Wise, PA 2793 Lineville Rd, Green Bay, WI 54313-7152 Ph: (920) 496-4700 |
Krista M Solarek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1970 S Ridge Rd, Green Bay, WI 54304 Phone: 920-430-4888 Fax: 920-430-4889 |
Mrs. Jenna Mae Hanson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1715 Dousman St, Green Bay, WI 54303 Phone: 920-496-4770 |
Bethany J Piotrowski, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1630 Commanche Ave, Green Bay, WI 54313 Phone: 920-433-6000 Fax: 920-430-4719 |
Ethan T Shaver, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1110 Kepler Dr, Green Bay, WI 54311 Phone: 920-288-5555 Fax: 920-288-5550 |
Dayna K Niesen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 414-290-6720 Fax: 414-290-6755 |
Katelin Marie Selner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-4060 Fax: 920-288-4067 |
Ashley M Spindler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 |