Chaeli Wisenbaker, PA-C - Medicare Physician Assistant in Valdosta, GA

Chaeli Wisenbaker, PA-C is a medicare enrolled "Physician Assistant - Medical" in Valdosta, Georgia. Her current practice location is 2412 N Oak St, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 244-1400.

Chaeli Wisenbaker is licensed to practice in Georgia (license number ) 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 1003229568.

Contact Information

Chaeli Wisenbaker, PA-C
2412 N Oak St,
Valdosta, GA 31602-2567
(229) 244-1400
(229) 244-5512



Provider's Profile

Full NameChaeli Wisenbaker
GenderFemale
SpecialityPhysician Assistant - Medical
Location2412 N Oak St, Valdosta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003229568
  • Provider Enumeration Date: 06/03/2014
  • Last Update Date: 05/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5890910616
  • Enrollment ID: I20140710000272

Medical Identifiers

Medical identifiers for Chaeli Wisenbaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003229568NPI-NPPES
7207OtherGAGEORGIA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (Georgia)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. Chaeli Wisenbaker 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
Chaeli Wisenbaker, PA-C
3832 Dane Ln,
Valdosta, GA 31601

Ph: (229) 740-3604
Chaeli Wisenbaker, PA-C
2412 N Oak St,
Valdosta, GA 31602-2567

Ph: (229) 244-1400

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Physician Assistant Nurses in Valdosta, GA

Ashly Mcdaniel, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3527 N Valdosta Rd, Valdosta, GA 31602
Phone: 229-247-2290    
Mr. Lonas Edward Lewis Ii, P.A.-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3251 Inner Perimeter Rd Ste B, Valdosta, GA 31602
Phone: 229-259-0006    Fax: 229-259-0803
Dana Woods Simpson, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 201 Woodrow Wilson Dr, Valdosta, GA 31602
Phone: 229-241-0041    Fax: 229-241-0048
Matthew Allan Thomas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2412 N Oak St, Valdosta, GA 31602
Phone: 229-244-1400    Fax: 229-244-5512
Ms. Shonta K Winbush, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 704 Gil Harbin Ind Blvd, Valdosta, GA 31602
Phone: 229-242-9003    Fax: 229-242-0490
Lela Faircloth Allen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3018 N Patterson St, Valdosta, GA 31602
Phone: 229-433-7200    Fax: 229-249-4031

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