Look up the most recent NPI and PECOS records

Laura Wise

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

(814) 139-2051

PECOS Enrollment

Based on the most recent information from CMS, provider Laura Wise is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1174826051
Provider Type
Individual
Full Name
Wise, Laura
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/14/2010
Last Updated
8/16/2023

Contact Information

Practice Location

118 E 2nd St, Erie, PA 16507-1502

(814) 139-2051

Unlisted Fax

Mailing Location

118 E 2nd St, Erie, PA 16507-1502

(814) 139-2051

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA054709 Pennsylvania

Laura Wise

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Nee, Margaret Rose

Niemi, Marissa L

Diplacido, Corinne E

Allgeier, Birgitta

Skindell, Julie

Respecki, Shelly

Lippert, Micaela M

Kies, Shelby Lynn

Janson Staib, Stephanie

Halilovic, Arijana