Louise Wise, DNP, PMHNP-BC in Tucker, GA - Medicare Nurse Practitioner

Louise Wise, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tucker, Georgia. Her current practice location is 2206 Hanfred Ln Ste 103, Tucker, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 831-6429.

Louise Wise is licensed to practice in Georgia (license number RN211259) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851782965.

Contact Information

	Louise Wise, DNP, PMHNP-BC
	2206 Hanfred Ln Ste 103, Tucker, GA 30084-4809
	(678) 831-6429
	(678) 669-2848

Map and Direction

Provider's Profile

Full Name	Louise Wise
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2206 Hanfred Ln Ste 103, Tucker, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851782965
Provider Enumeration Date: 02/10/2015
Last Update Date: 07/06/2021

Medicare PECOS Information:

PECOS PAC ID: 3577866086
Enrollment ID: I20160115001840

Medical Identifiers

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

Identifier	Type	State	Issuer
1851782965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN211259 (Georgia)	Primary

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. Louise Wise allows following entities to bill medicare on her behalf.

Entity Name	Mobolaji Shalom Oyebanjo, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922280684 PECOS PAC ID: 6204914401 Enrollment ID: O20080428000562

Entity Name	The Northrop Connection, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912398868 PECOS PAC ID: 6800104506 Enrollment ID: O20150929003498

Entity Name	Louise Wise Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699239475 PECOS PAC ID: 1951768613 Enrollment ID: O20230612001657

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. Louise 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
Louise Wise, DNP, PMHNP-BC Po Box 309, Clarkston, GA 30021-0309 Ph: () -	Louise Wise, DNP, PMHNP-BC 2206 Hanfred Ln Ste 103, Tucker, GA 30084-4809 Ph: (678) 831-6429

Reviews and Comments

Nurse Practitioner Nurses in Tucker, GA

Ms. Dorothy Delisfort-crisostomo, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4228 1st Ave Ste 1, Tucker, GA 30084 Phone: 833-583-4778 Fax: 833-583-4779
Katrina R Bader, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Cres Ctr Pkwy, Department Of Research, Tucker, GA 30084 Phone: 770-496-3770
Nkechi A Saleh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1479 Brockett Rd Ste 101, Tucker, GA 30084 Phone: 404-625-5427 Fax: 404-508-8944
Mrs. Melanie Noelle Mcmillan, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2260 Northlake Pkwy Ste 211, Tucker, GA 30084 Phone: 770-491-1344
Solina Jinju Chiang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400
Harriett Laschell Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400
Dr. Turnisha Monique Carter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3469 Lawrenceville Hwy Ste 103, Tucker, GA 30084 Phone: 770-939-6480 Fax: 770-638-1961

Louise Wise, DNP, PMHNP-BC - Medicare Nurse Practitioner in Tucker, GA