Mr Richard Goodman Wiseman, FNP in Holly Springs, MS

Mr Richard Goodman Wiseman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Holly Springs, Mississippi. He graduated from nursing school in 1993 and has 32 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Alliance Healthcare System, Inc and his current practice location is 538 J M Ash Dr, Holly Springs, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 252-1599.

Mr Richard Goodman Wiseman is licensed to practice in Mississippi (license number R549096) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1871690263.

Contact Information

	Mr Richard Goodman Wiseman, FNP
	538 J M Ash Dr, Holly Springs, MS 38635-3238
	(662) 252-1599
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Richard Goodman Wiseman
Gender	Male
Speciality	Nurse Practitioner
Experience	32 Years
Location	538 J M Ash Dr, Holly Springs, Mississippi
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Richard Goodman Wiseman graduated from nursing school in 1993

NPI Data:

NPI Number: 1871690263
Provider Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6800847914
Enrollment ID: I20050207000420

Medical Identifiers

Medical identifiers for Mr Richard Goodman Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871690263	NPI	-	NPPES
00114188	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R549096 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Tupelo, MS	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alliance Healthcare System, Inc	2961489547	4

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. Mr Richard Goodman Wiseman allows following entities to bill medicare on his behalf.

Entity Name	Alliance Healthcare System, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821143256 PECOS PAC ID: 2961489547 Enrollment ID: O20040701000719

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. Mr Richard Goodman Wiseman 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
Mr Richard Goodman Wiseman, FNP 538 J M Ash Dr, Holly Springs, MS 38635-3238 Ph: (662) 252-1599	Mr Richard Goodman Wiseman, FNP 538 J M Ash Dr, Holly Springs, MS 38635-3238 Ph: (662) 252-1599

Reviews and Comments

Nurse Practitioner Nurses in Holly Springs, MS

Dr. Jerry D Williams Ii, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 W Van Dorn Ave, Holly Springs, MS 38635 Phone: 662-274-3212 Fax: 662-274-3213
Robyn Black Caldwell, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 South Craft Street, Holly Springs, MS 38635 Phone: 662-274-3218
Tracey Nicole Skelton, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 550 Craft St, Holly Springs, MS 38635 Phone: 662-274-3218
Stephanie M Hardin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 538 J M Ash Dr, Holly Springs, MS 38635 Phone: 662-252-1599 Fax: 662-252-1986
Christle Chenille Stanton, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Crescent Meadows Dr, Holly Springs, MS 38635 Phone: 662-252-2552
Nancy C Boatwright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 538 J M Ash Dr, Holly Springs, MS 38635 Phone: 662-333-6933 Fax: 662-333-6931
Zelma Allen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2369 Highway 311, Holly Springs, MS 38635 Phone: 901-488-7273

Mr Richard Goodman Wiseman, FNP - Medicare Nurse Practitioner in Holly Springs, MS