EDWARD WISE, DMD

Oral and Maxillofacial Surgery (Dentist) · WEST COLUMBIA, SC

Individual Active Opted out of Medicare NPI 1639153430

Medicare payment data Part B · 2022

YearBeneficiariesServicesSubmittedAllowedPaid
20223047$18,088$7,678$5,232

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X4120SC
Dentist122300000X4120SC

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
No
Hospice
Yes

Opted out of Medicare (Dentist), effective 2023-04-11 through 2027-04-11.

Other Oral and Maxillofacial Surgery (Dentist) providers in South Carolina

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.