| Wendy L Wise, CRNA | |
|
630 East River Street, Elyria, OH 44035-5902 | |
| (440) 329-7500 | |
| Not Available |
| Full Name | Wendy L Wise |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 630 East River Street, Elyria, Ohio |
| 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 |
|---|---|---|---|
| 1750339396 | NPI | - | NPPES |
| 2395251 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN-265858 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 972 |
| Elyria Anesthesia Incorporated | 7214902170 | 50 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Geauga Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841283454 PECOS PAC ID: 0840184602 Enrollment ID: O20040212000000 |
| Entity Name | Elyria Anesthesia Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Ambulatory Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922270495 PECOS PAC ID: 5294814240 Enrollment ID: O20080502000242 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Entity Name | Safe Anesthesia Geneva Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821327636 PECOS PAC ID: 4385771997 Enrollment ID: O20100429000743 |
| Entity Name | Ams Ohio Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558800532 PECOS PAC ID: 2769743335 Enrollment ID: O20180221002674 |
| Entity Name | Uh North Ridgeville Endoscopy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1396213294 PECOS PAC ID: 5890032494 Enrollment ID: O20190118002818 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy L Wise, CRNA 860 East Broad Street, Suite I, Elyria, OH 44035-6542 Ph: (440) 323-8458 | Wendy L Wise, CRNA 630 East River Street, Elyria, OH 44035-5902 Ph: (440) 329-7500 |
Jessica Anne Yager, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Mr. Scott Michael Dickerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7536 | |
Danette Joan Gissinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 860 E Broad St, Suite1, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Susan F Dimassa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5319 Hoag Drive, Elyria, OH 44035 Phone: 440-930-6050 Fax: 440-934-8882 | |
Mrs. Debera W Moennich, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 860 E Broad St, Suite I, Elyria, OH 44035 Phone: 440-323-8515 Fax: 440-323-7900 | |
Kathryn Anzalone, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 860 E Broad St Ste I, Elyria, OH 44035 Phone: 440-323-8515 | |
Laurie Ann Frankito, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 860 E Broad St, Elyria, OH 44035 Phone: 440-323-8458 Fax: 440-323-7900 |