| Mrs Mary Elizabeth Wise, NP-C | |
|
496 Fairfield Ct, Evans, GA 30809-3641 | |
| (229) 292-9248 | |
| Not Available |
| Full Name | Mrs Mary Elizabeth Wise |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 496 Fairfield Ct, Evans, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184047565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN213344 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN213344 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Augusta Primary Care Services Llc | 2466513874 | 38 |
| Entity Name | Augusta Primary Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952565210 PECOS PAC ID: 2466513874 Enrollment ID: O20090126000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Elizabeth Wise, NP-C 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909-2205 Ph: (706) 504-9712 | Mrs Mary Elizabeth Wise, NP-C 496 Fairfield Ct, Evans, GA 30809-3641 Ph: (229) 292-9248 |
Katie Ann Gresham, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4720 Washington Rd, Evans, GA 30809 Phone: 706-774-7760 | |
Mary Kristine Alegre, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4244 Washington Rd, Evans, GA 30809 Phone: 706-760-7607 | |
Mrs. Deundra Loraine Graham, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5110 Wells Dr, Evans, GA 30809 Phone: 706-664-4106 | |
Dr. Margo Louise Henderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 465 N Belair Rd, Ste 2b, Evans, GA 30809 Phone: 706-774-7400 Fax: 706-774-7590 | |
Mrs. Kathryn Ricks Toburen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 465 N Belair Rd, Suite 1-b, Evans, GA 30809 Phone: 706-868-3100 Fax: 706-228-3160 | |
Samantha Shoemaker Tojino, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Ponder Place Dr, Evans, GA 30809 Phone: 706-707-2808 |