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Dr. Jack D Wise JR.

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jack D Wise JR.
Gender: M
Provider License Number If Given: 1743

NPI Information:

NPI: 1255402905
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 11/13/2006
Last Update Date: 11/20/2007

Provider Business Mailing Address:

Address: 24 EAST MAIN ST
Williamston, SC 29697
Phone Number: 8648476020
Fax Number: 8648476007

Provider Business Practice Location Address:

Address: 24 EAST MAIN STREET
Williamston, SC 29697
Phone Number: 8648476020
Fax Number: 8648476007

Provider Taxonomy:

Primary: 111N00000X
Secondary (if any):
State: SC

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About Dr. Jack D Wise JR.

Dr. Jack D Wise JR.(DR. JACK D WISE JR.) is A Chiropractor Physician in Williamston, SC. The NPI Number for Dr. Jack D Wise JR. is 1255402905.
The current location address for Dr. Jack D Wise JR. is 24 EAST MAIN STREET Williamston, SC 29697 and the contact number is 8648476020 and fax number is 8648476007. The mailing address for Dr. Jack D Wise JR. is 24 EAST MAIN ST Williamston, SC 29697- 8648476020 (mailing address contact number - 8648476020).
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jack D Wise JR.?


Answer: The NPI Number for Dr. Jack D Wise JR. is 1255402905

Where is Dr. Jack D Wise JR. located?


Answer: Dr. Jack D Wise JR. is located at 24 EAST MAIN STREET Williamston, SC 29697.

What is the specialty for Dr. Jack D Wise JR.?


Answer: The Specialty of Dr. Jack D Wise JR. is A Chiropractor Physician.

Are there any online reviews for Dr. Jack D Wise JR.?


Answer: Not yet!

Are there any other health care providers in Williamston, SC?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Jack D Wise JR.

Number of HCPCS 3
Number of Medicare Beneficiaries 30
Number of Services 410
Total Submitted Charge Amount 20750
Total Medicare Allowed Amount 15878.02
Total Medicare Payment Amount 11652.33
Total Medicare Standardized Payment Amount 12249.01
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 3
Number of Medicare Beneficiaries With Medical 30
Number of Medical Services 410
Total Medical Submitted Charge Amount 20750
Total Medical Medicare Allowed Amount 15878.02
Total Medical Medicare Payment Amount 11652.33
Total Medical Medicare Standardized Payment Amount 12249.01
Average Age of Beneficiaries 67
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 18
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries 19
Number of Male Beneficiaries 11
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.57
Percent (%) of Beneficiaries Identified With Hypertension 0.57
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 0.9532

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