Jordan M Wisner, PHD - Medicare Psychologist in Boise, ID

Jordan M Wisner, PHD is a medicare enrolled "Psychologist" provider in Boise, Idaho. His current practice location is 444 W Fort St Fl 2, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 422-1018.

Jordan M Wisner is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255847786.

Contact Information

Jordan M Wisner, PHD
444 W Fort St Fl 2,
Boise, ID 83702-4535
(208) 422-1018
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJordan M Wisner
GenderMale
SpecialityPsychologist
Location444 W Fort St Fl 2, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255847786
  • Provider Enumeration Date: 12/20/2017
  • Last Update Date: 08/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143676049
  • Enrollment ID: I20231030001117

Medical Identifiers

Medical identifiers for Jordan M Wisner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255847786NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

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. Jordan M Wisner 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 AddressPractice Location Address
Jordan M Wisner, PHD
444 W Fort St Fl 2,
Boise, ID 83702-4535

Ph: (208) 422-1018
Jordan M Wisner, PHD
444 W Fort St Fl 2,
Boise, ID 83702-4535

Ph: (208) 422-1018

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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