Mr Richard Goodman Wiseman, FNP | |
538 J M Ash Dr, Holly Springs, MS 38635-3238 | |
(662) 252-1599 | |
Not Available |
Full Name | Mr Richard Goodman Wiseman |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 31 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871690263 | NPI | - | NPPES |
00114188 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R549096 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alliance Healthcare System, Inc | 2961489547 | 5 |
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 |
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 |
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: Accepting Medicare Assignments Practice Location: 550 South Craft Street, 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 | |
Allison Tucker Mcculley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1809 Marianna Rd, Holly Springs, MS 38635 Phone: 901-489-3739 | |
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: May Accept Medicare Assignments 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 |