Ellen S Wise, PAC in Troy, OH - Medicare Physician Assistant

Ellen S Wise, PAC is a medicare enrolled "Physician Assistant" in Troy, Ohio. Her current practice location is 3130 N Dixie Hwy, Troy, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 440-4600.

Ellen S Wise is licensed to practice in Ohio (license number 50001511) 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 1588601546.

Contact Information

	Ellen S Wise, PAC
	3130 N Dixie Hwy, Troy, OH 45373-1337
	(937) 440-4600
	(937) 619-4150

Provider's Profile

Full Name	Ellen S Wise
Gender	Female
Speciality	Physician Assistant
Location	3130 N Dixie Hwy, Troy, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588601546
Provider Enumeration Date: 05/31/2006
Last Update Date: 06/09/2010

Medicare PECOS Information:

PECOS PAC ID: 1052393899
Enrollment ID: I20040604000155

Medical Identifiers

Medical identifiers for Ellen S Wise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588601546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	50001511 (Ohio)	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. Ellen S 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
Ellen S Wise, PAC 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136	Ellen S Wise, PAC 3130 N Dixie Hwy, Troy, OH 45373-1337 Ph: (937) 440-4600

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Physician Assistant Nurses in Troy, OH

Glenda M Updyke, MS PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 W Main St, Troy, OH 45373 Phone: 937-395-6665 Fax: 937-395-6668
Melinda Sue Duff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3130 N County Road 25a, Suite 214, Troy, OH 45373 Phone: 937-332-8777 Fax: 937-332-8773
Kyle Kirby, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3130 N Dixie Hwy, Troy, OH 45373 Phone: 937-440-4600
Danielle Morgan Wheeler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3130 N County Road 25a, Troy, OH 45373 Phone: 937-440-4000
Kelly C Prikkel, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3130 N Dixie Hwy, Troy, OH 45373 Phone: 937-440-4600 Fax: 937-339-4056
James C Zedaker, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 3130 N Dixie Hwy, Troy, OH 45373 Phone: 937-440-4600 Fax: 937-339-4059
Ms. Shelley Rae Maier, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3130 N Dixie Hwy, Suite 203, Troy, OH 45373 Phone: 937-339-7982 Fax: 937-339-7842

Ellen S Wise, PAC - Medicare Physician Assistant in Troy, OH