Individual ProviderLois E. WiseAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address6200 N La Cholla Blvd, Tucson, AZ 85741-3529(520) 742-9000PECOS EnrollmentThis provider is enrolled in PECOS as LOIS WISE.Based on the most recent information from CMS, provider Lois E. Wise is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669440921Provider TypeIndividualFull NameWise, Lois E.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date3/10/2006Last Updated11/25/2024Contact InformationPractice LocationPractice Address6200 N La Cholla Blvd, Tucson, AZ 85741-3529Phone(520) 742-9000Fax(659) 235-6176Mailing LocationMailing AddressPO Box 817737, Hollywood, FL 33081-1737PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseME73960FloridaProvider IdentifiersIDDescriptionIssuerID258105100DescriptionMedicaidIssuerUnlistedFlorida