Organization
PRISMA WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT WIENER MD (MEDICAL DIRECTOR)
(206) 939-1079
Entity
Organization
Contact information
Practice address
13500 WATERTOWN PLANK RD STE 102, ELM GROVE, WI 53122-2222
(206) 785-1015
(206) 785-1023
Mailing address
2031 RIDGE END RD, VIRGINIA BEACH, VA 23454-1028
(206) 939-1079
(206) 785-1023
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us