78 THORNTON AVE
AUBURN, NY 13021-4655 US PECOS Enrolled
Overview
Jean Marie Wiseman is a Registered Nurse in the AUBURN area and has over 31 years of experience. Jean Marie Wiseman primary office location is at 78 THORNTON AVE and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1993
Jean Marie Wiseman is affiliated with two hospitals in the AUBURN area, including GENEVA GENERAL HOSPITAL. The NPI number is 1205850203 and the information was updated approximately 1 year ago.
Jean Marie Wiseman is affiliated with one medical group in the AUBURN area, AUBURN MEMORIAL MEDICAL SERVICES PC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 382891 | NY |
| F300942-1 | NY |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 02636726 | NY |
| Taxonomy | State | Primary? |
|---|---|---|
| Registered Nurse - Taxonomy Code 163W00000X | NY | Y |
| Nurse Practitioner - Taxonomy Code 363L00000X | NY | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20100316000403 |
| PECOS Individual PAC ID: | 1456486430 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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