Dr. Bethany Lee Wisotzkey
M.D. | Pediatric Cardiology | Female
Dr. Bethany Lee Wisotzkey, M.D. is a Durham, North Carolina based Pediatric doctor with medical specialization in
Pediatric Cardiology. Dr. Bethany Lee Wisotzkey is also known as
Bethany Lee Moore.
Current practice location of Dr. Bethany Lee Wisotzkey is
2301 Erwin Rd, Durham, North Carolina - 27705-4699. She can be contacted on phone at
919-684-8111.
Dr. Bethany Lee Wisotzkey is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Bethany Lee Wisotzkey is
1467778027 which was assigned by NPPES on 07 Apr, 2010 and it was last updated on 08 Dec, 2017.
Dr. Bethany Lee Wisotzkey license number is
ME133432 for Pediatrics Pediatric Cardiology (2080P0202X) in Florida.
Dr. Bethany Lee Wisotzkey provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Bethany Lee Wisotzkey basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Dr. Bethany Lee Wisotzkey |
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| Other Name : | Bethany Lee Moore |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Bethany Lee Wisotzkey address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2301 Erwin Rd
Durham, NC, 27705-4699
United States |
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| Phone Number : | 919-684-8111 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467778027 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Apr, 2010 |
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| Last Updated On : | 08 Dec, 2017 |
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Medicare Participation:
Dr. Bethany Lee Wisotzkey participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6800103540 |
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| Medicare Enrollment ID : | I20200212000458 |
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| Primary Specialty : | Cardiovascular Disease (cardiology) |
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| Medical School : | University Of North Texas Hsc, College Of Osteopathic Med |
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| Graduation Year : | 2010 |
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| Accepts Medicare? | Yes. Dr. Bethany Lee Wisotzkey accepts medicare insurance. |
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Group Practice Association:
Dr. Bethany Lee Wisotzkey is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Bethany Lee Wisotzkey is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Phoenix Children's Hospital | 0446278584 | 278 | 1919 E Thomas Rd
Phoenix, AZ - 850167710
Ph: 6029331000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bethany Lee Wisotzkey are as mentioned. Primary taxonomy code for Dr. Bethany Lee Wisotzkey, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | ME133432 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bethany Lee Wisotzkey such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 022228100 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 601 5th St S, Pediatric Cardiology 2nd Flr
St. Petersburg, FL, 33701-4804
United States |
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| Phone Number : | 727-767-3333 |
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| Fax Number : | 727-767-8990 |
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Business Location:
Patients can refer following map for directions to
Dr. Bethany Lee Wisotzkey practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.