Samantha Renee Wise, in Morgantown, WV - Medicare Nurse Practitioner

Samantha Renee Wise, is a medicare enrolled "Nurse Practitioner - Adult Health" in Morgantown, West Virginia. Her current practice location is 1 Medical Center Dr, Morgantown, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 598-4000.

Samantha Renee Wise is licensed to practice in West Virginia (license number 107473) 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 1578179081.

Contact Information

	Samantha Renee Wise,
	1 Medical Center Dr, Morgantown, WV 26506-1200
	(304) 598-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Renee Wise
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1 Medical Center Dr, Morgantown, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578179081
Provider Enumeration Date: 09/20/2020
Last Update Date: 07/23/2021

Medicare PECOS Information:

PECOS PAC ID: 7618389552
Enrollment ID: I20201216003300

Medical Identifiers

Medical identifiers for Samantha Renee Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578179081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	107473 (West Virginia)	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. Samantha Renee Wise allows following entities to bill medicare on her behalf.

Entity Name	West Virginia University Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207

Entity Name	Advanced Physical Medicine Of West Virginia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215375415 PECOS PAC ID: 1951526177 Enrollment ID: O20140702000538

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. Samantha Renee 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
Samantha Renee Wise, 511 Burroughs St Apt 201, Morgantown, WV 26505-3390 Ph: (304) 435-7057	Samantha Renee Wise, 1 Medical Center Dr, Morgantown, WV 26506-1200 Ph: (304) 598-4000

Reviews and Comments

Nurse Practitioner Nurses in Morgantown, WV

Eric Allen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273
Chelsea Collins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 J D Anderson Dr, Morgantown, WV 26505 Phone: 304-285-3870 Fax: 304-598-6566
Mary Craft, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000
Catherine Elizabeth Salmons, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000
Ms. Joanna Lyn Reynolds, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-1111
Mary E Chafin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-293-6963
Christy Lynn Glass, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1247 Suncrest Town Centre Dr, Morgantown, WV 26505 Phone: 304-599-8000 Fax: 304-599-8003

Samantha Renee Wise, - Medicare Nurse Practitioner in Morgantown, WV