Mrs Deborah Ann Wise, CNS - Medicare Certified Clinical Nurse Specialist (cns) in Kettering, OH

Mrs Deborah Ann Wise, CNS is a medicare enrolled "Clinical Nurse Specialist - Oncology" in Kettering, Ohio. She went to Wright State University Boonshoft School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 3700 Southern Blvd Ste 401, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at (855) 500-2873.

Mrs Deborah Ann Wise is licensed to practice in Ohio (license number COA02210NS) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134340599.

Contact Information

Mrs Deborah Ann Wise, CNS
3700 Southern Blvd Ste 401,
Kettering, OH 45429-1226
(855) 500-2873
(937) 281-3913



Provider's Profile

Full NameMrs Deborah Ann Wise
GenderFemale
SpecialityCertified Clinical Nurse Specialist (cns)
Experience27 Years
Location3700 Southern Blvd Ste 401, Kettering, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Deborah Ann Wise attended and graduated from Wright State University Boonshoft School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1134340599
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 11/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4789849548
  • Enrollment ID: I20120628000130

Medical Identifiers

Medical identifiers for Mrs Deborah Ann Wise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134340599NPI-NPPES
0067949MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WX0200XRegistered Nurse - Oncology RN167460 (Ohio)Secondary
364S00000XClinical Nurse Specialist COA02210NS (Ohio)Secondary
364SX0200XClinical Nurse Specialist - Oncology COA02210NS (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grandview And Southview HospitalsDayton, OHHospital
Greene Memorial HospitalXenia, OHHospital
Soin Medical CenterBeaver creek, OHHospital
Kettering Medical Center - SycamoreMiamisburg, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936586

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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. Mrs Deborah Ann Wise allows following entities to bill medicare on her behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529

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Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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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. Mrs Deborah Ann 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 AddressPractice Location Address
Mrs Deborah Ann Wise, CNS
3700 Southern Blvd Ste 401,
Kettering, OH 45429-1265

Ph: (855) 500-2873
Mrs Deborah Ann Wise, CNS
3700 Southern Blvd Ste 401,
Kettering, OH 45429-1226

Ph: (855) 500-2873

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Clinical Nurse Specialist Nurses in Kettering, OH

Suzanne Marie Brooks, RN, MS, CNS-BC
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429
Phone: 937-643-9299    Fax: 937-643-2343
Melody Ruth Campbell, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Southern Blvd Ste 2100, Kettering, OH 45429
Phone: 937-395-8556    Fax: 937-395-6376
Patrick A Kuss, PA
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-296-7202    
Miss Marjorie Yvonne Derksen, RN,CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 3080 Ackerman Blvd., #100, Dayton Chest Medicine, Kettering, OH 45429
Phone: 937-396-1605    Fax: 937-396-1607

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