Mrs Windy Jo Wisener, CRNP is a medicare enrolled "Nurse Practitioner" in Blountsville, Alabama. She went to University Of Alabama School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Russellville Hospital Inc., Eastern Hospital Medicine Pc and her current practice location is
4433 Black Rd, Blountsville, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 456-0962.
Mrs Windy Jo Wisener is licensed to practice in Alabama (license number 1-108981) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619235009.
Provider's Profile
| Full Name | Mrs Windy Jo Wisener |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 4433 Black Rd, Blountsville, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Windy Jo Wisener attended and graduated from University Of Alabama School Of Medicine in 2011
NPI Data:
- NPI Number: 1619235009
- Provider Enumeration Date: 04/24/2012
- Last Update Date: 10/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426209453
- Enrollment ID: I20121121000174
Medical Identifiers
Medical identifiers for Mrs Windy Jo Wisener such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619235009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | 1-108981 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Russellville Hospital Inc. | 3476878489 | 89 |
| Eastern Hospital Medicine Pc | 8325044597 | 33 |
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. Mrs Windy Jo Wisener allows following entities to bill medicare on her behalf.
| Entity Name | Eastern Hospital Medicine Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104859123 PECOS PAC ID: 8325044597 Enrollment ID: O20061011000241 |
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| Entity Name | Advantage Family Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023447943 PECOS PAC ID: 7618103748 Enrollment ID: O20131120001477 |
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| Entity Name | Russellville Hospital Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761 |
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| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
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| Entity Name | Dermaccel |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992582241 PECOS PAC ID: 7618323130 Enrollment ID: O20231019001715 |
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| Entity Name | Medical Director Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20250319000502 |
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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. Mrs Windy Jo Wisener 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 |
Mrs Windy Jo Wisener, CRNP Po Box 339, Cullman, AL 35056-0339 Ph: (256) 739-9593 | Mrs Windy Jo Wisener, CRNP 4433 Black Rd, Blountsville, AL 35031-5942 Ph: (205) 456-0962 |
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