A Michelle Wise, FNP in Rock Hill, SC - Medicare Nurse Practitioner

A Michelle Wise, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rock Hill, South Carolina. Her current practice location is 739 Galleria Blvd Ste 112, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 547-4343.

A Michelle Wise is licensed to practice in South Carolina (license number 2787) 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 1164663449.

Contact Information

	A Michelle Wise, FNP
	739 Galleria Blvd Ste 112, Rock Hill, SC 29730-5785
	(803) 547-4343
	Not Available

Map and Direction

Provider's Profile

Full Name	A Michelle Wise
Gender	Female
Speciality	Nurse Practitioner - Family
Location	739 Galleria Blvd Ste 112, Rock Hill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164663449
Provider Enumeration Date: 03/16/2009
Last Update Date: 11/30/2018

Medicare PECOS Information:

PECOS PAC ID: 3678759388
Enrollment ID: I20110513000453

Medical Identifiers

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

Identifier	Type	State	Issuer
1164663449	NPI	-	NPPES
SCC1783365	Other	SC	MEDICARE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2787 (South Carolina)	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. A Michelle Wise allows following entities to bill medicare on her behalf.

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129

Entity Name	Intramed Plus Infusion & Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063053833 PECOS PAC ID: 3577998715 Enrollment ID: O20200116002677

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. A Michelle 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
A Michelle Wise, FNP 224 Avery Jones Ln Apt 202, Rock Hill, SC 29730-0155 Ph: (864) 501-7603	A Michelle Wise, FNP 739 Galleria Blvd Ste 112, Rock Hill, SC 29730-5785 Ph: (803) 547-4343

Reviews and Comments

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A Michelle Wise, FNP - Medicare Nurse Practitioner in Rock Hill, SC