Mdwise pharmacy

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Mdwise pharmacy. If you have questions about MDwise Medicare's Provider/Pharmacy Directory, want to report a directory discrepancy or require assistance in selecting a PCP, please call Member Services at 833-358-2140, April 1st through September 30th Monday through Friday, 8 a.m. to 8 p.m. or October 1st through March 31st seven days a

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Director of Pharmacy at MDwise, Inc. 3y Report this post MDwise, Inc. 1,623 followers 3y The COVID-19 vaccine has arrived in Indiana for Hoosiers aged 65 and up, along with …MDwise . Fax to: (858) 790-7100 . do Medlmpact Healthcare . ystems, Inc. Attn: Prior Authorization Department . 10181 cripps Gatewa Court, an Diego . A 92131 . Phone: (800) 788-2949 . s ... Pharmacy Benefit Pcsk9 Inhibitors and Select Lipotropics Prior Authorization Request Form ...If you have questions about MDwise Medicare’s Provider/Pharmacy Directory, want to report a directory discrepancy or require assistance in selecting a PCP, please call Member Services at 833-358-2140, April 1st through September 30th Monday through Friday, 8 a.m. to 8 p.m. or October 1st through March 31st seven days aThis means that MDwise will covering the same preferred and nonpreferred narcotics plus maintain the same clinical criteria needs as other INBOUND Medicaid suppliers. A formulary is ampere list of the brand and generic drug covering by and Healthy Indiana Plan. MDwise Hygienisch Indiana Plan members can call 1-844 ...Prior Authorization forms. The Medication Request Form (MRF) is submitted by participating physicians and providers to obtain coverage for formulary drugs requiring prior authorization (PA); non-formulary drugs for which there are no suitable alternatives available; and overrides of pharmacy management procedures such as step therapy, quantity limit or other edits.Screenshots. Manage your health care on the go with the myMDwise app. Welcome to myMDwise for Hoosier Healthwise and Healthy Indiana Plan members. With myMDwise, you can: • View your general information, including the name of your current doctor. • Complete a survey about your health (Health Screening). • View and redeem MDwise Rewards.

Services can fax the completed Pharmaceuticals Request Form to 858-790-7100. To find these dental go to our Pharmacy forms page. Formulary plus Pharmacy Search. A searchable formulary and participating dosing are available by selecting an links below by the MDwise Hoosier Healthwise plan. Find a our for HHW members Finding a drug for HHW membersMDwise does not cover trips to the pharmacy. Members must have: • Member identification number • Date and time of doctor’s appointment • Clinic address and phone number 1-800-356-1204 or 317-630-2831 Transportation available for HIP State Plus, HIP State Basic and all pregnantWelcome to MDwise. At MDwise, you can earn cash for taking care of yourself. Your health plan comes with lots of rewards and ways to save. But did you know that new members can also receive a $30 Visa gift card just for taking a short health survey? Just make sure to complete your survey within your first 90 days as an MDwise member. Get ...Jan. 3, 2018, 04:15 PM. GRAND BLANC, Mich. and INDIANAPOLIS, Jan. 3, 2018 /PRNewswire/ -- McLaren Health Care has completed its previously announced acquisition of MDwise. The acquisition ...Managed Care Prior Authorization. The managed care entities (MCEs) are responsible for processing all PA requests for services covered under the managed care delivery system, and for notifying Healthy Indiana Plan (HIP), Hoosier Care Connect and Hoosier Healthwise members about PA decisions. To determine whether a procedure code requires PA for ...Prescription Medicine. The Healthy Indiana Plan covers necessary medicines. Your doctor must prescribe these medicines. It must be a medicine approved by the Food and Drug Administration (FDA). The Healthy Indiana Plan gives your doctor a tool called a formulary. This helps him or her prescribe drugs for you.The Notification of Pregnancy can help MDwise enhance your plan of care. NOP is used by MDwise to identify moderate to high risk pregnancies and provide education, care coordination and link pregnant women to additional community resources. The goal of MDwise is to work with our practitioners and members to improve birth outcomes across all ...The CMR may also be provided in person or via telehealth at your provider's office, pharmacy, or long-term care facility. If you or your caregiver are not able to participate in the CMR, this review may be completed directly with your provider. These services are provided on behalf of MDwise Medicare.

Welcome to the MDwise network. We value your participation and express until stay you informed on offers ease accessible resources and get here. Information about MDwise guidelines, requirements and policies and procedure can be search in who provider manual. News and Announcements. ABOUT Hierarchy; Assist Insert Invalids Keep Their CoveragePharmacy Utilization Management. MDwise Medicare plans have requirements for some drugs that need to be followed before we will cover them. These requirements are: prior authorization, step therapy, and quantity limits. Note: Formularies effective as of April 11, 2024. Prior Authorization. Certain drugs require approval before we will cover them.Screenshots. Manage your health care on the go with the myMDwise app. Welcome to myMDwise for Hoosier Healthwise and Healthy Indiana Plan members. With myMDwise, you can: • View your general information, including the name of your current doctor. • Complete a survey about your health (Health Screening). • View and redeem MDwise Rewards.MDwise . Fa.x to: (858) 790-7100 . do Medlmpact Healthcare ystems, Inc. Attn: Prior Authorization Department . 10181 cripps Gateway ourt, San Diego, CA 92131 . Phone: (800) 788-2949 . ... Pharmacy Benefit Vaginal Antimicrobials Prior Authorization Request Form Created Date:MDwise, Inc. 2,538 likes · 16 talking about this. MDwise is a non-profit health maintenance organization focused on helping Indiana families and individuals needing health coverage. MDwise, Inc. staging.mdwise.org

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Join IPA's Independent Academy for a "townhall" with Brian Musial, R.Ph., Vice President of Pharmacy, MDWise. February 8, 7-8pm ETProviders capacity fax the completed Medication Request Form to 858-790-7100. To find these forms go to our Pharmacy forms page. Formulary and Pharmacy Search. A searchable formularies the participating pharmacies are available by selecting the links below for the MDwise Hoosier Healthwise plan. Find a pharmacy for HHW members Find a drug for ...From the homepage, click PA Criteria and Administrative Forms on the just. See the heading Pharmacy Forms, click on Pharmacy Ahead Authorization Criteria and Forms. PA forms for medications on the SUPDL ought be viewed from the select below. Please DO NOT utilize FFS PA forms for MDwise enrollees. SUPDL Prior Authorization FormsSection Menu MDwise Medicare. Contact Us; MDwise Medicare Seminar Information; View 2024 Plans Open sub menu. Compare Plans 2024; Enroll in a Plan; Find a Provider - MDwise Medicare Open sub menu. Find a Pharmacy; For MDwise Medicare Members Open sub menu. Advance Directive; Affordable Connectivity Program; How Do I Pay? MDwise Medicare ...

Maryland Medicaid Pharmacy Program Antipsychotic Prior Authorization Form For Patients 18 Years of Age and Older Phone: 800 932 3918 Fax: 866 440 9345 Patient Name: DOB: MA # Prescriber Name: NPI # Degree: Specialty: Treatment site or office address: Tel: Fax: Email Address: ADHD Anti-Social or Borderline Personality DisorderMDwise – HIP and Hoosier Healthwise; MHS – HIP, Hoosier Healthwise and Hoosier Care Connect; UnitedHealthcare – Hoosier Care Connect; Statewide Program Support. Optum Rx provides support for statewide pharmacy policy development, including pharmacy boards and committees, as well as the management of the drug rebate program.(Section Name) menu MDwise Medicare. Contact Us; MDwise Medicare Seminar Information; View 2024 Plans. Compare Plans 2024; Enroll in a Plan; Find a Provider - MDwise Medicare. Find a Pharmacy; For MDwise Medicare Members. Advance Directive; Affordable Connectivity Program; How Do I Pay? MDwise Medicare Communications; … Learn how Toledo Family Pharmacy supports your heart health journey with practical tips on diet, exercise, stress management, and more. Take charge of your heart health today! By toledofamilypharmacy | 2024-02-08T15:38:09+00:00 February 8th, 2024 | Categories: Blog | 0 Comments David Majerowicz currently works at the Faculty of Pharmacy, Federal University of Rio de Janeiro. David does research in Chemistry, Biology and Molecular Biology. Their current project is 'Insect ...MDwise supports your right to file an Advance Directive according to Indiana law. This document is a written statement of your wishes for medical care. It explains, in advance, what treatments you want or don't want if you have a serious medical condition that prevents you from telling your provider how you want to be treated.Medicine safety means you get the right medicine and the right dose, at the right times. If you take the wrong medicine or too much of it, it could cause serious problems. Medicine...Behavioral Health Models. Referral for Behavioral Health Services; Case Management/Disease Corporate Referral Form; Substance Uses Disorder Forms: Residential/Inpatient Substance Getting Disorder Treatment Prior Authorization Requirement Make - Those form must be used to request PA for inpatient and residential SUD treatment services, rather than using the standard universal PA request form.About MDwise MDwise is an Indiana-licensed nonprofit health maintenance organization offering healthcare benefits to more than 375,000 Hoosier Healthwise, Healthy Indiana Plan and Medicare members. ... Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a ...The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. We will notify affected enrollees about changes at least 30 days ... MDwise Medicare is an HMO with a Medicare contract. Enrollment in MDwise Medicare depends on contract renewal. Form Approved OMB# 0938-1421To get started, create an account in MDwise's online member portal, myMDwise. The portal is secure, confidential and easy to use. With the myMDwise member portal, you can: View the name of your current doctor or request a change; View the status of medical and pharmacy claims; View or print your member ID card; View MDwise REWARDS points and ...

Call us at 1-833-414-1997 and we’ll be happy to assist you with completing your Eligibility Notice for Health Coverage form. If you prefer to speak with someone in person, you can visit MDwise at our Indianapolis office at 2955 N. Meridian Street, Indianapolis, IN 46208 Monday through Wednesday from 8:30 am to 5:00 pm ET.

INDIANA HEALTH COVERAGE PROGRAMS (IHCP) PHARMACY BENEFIT PRIOR AUTHORIZATION REQUEST TO EXCEED DAILY OPIOID MME LIMIT FORM Today's Date / / Note: This form must ... MDwise Fax to: (858) 790-7100 c/o MedImpact Healthcare Systems, Inc. Attn: Prior Authorization DepartmentMember Information. As an MDwise Healthy Indiana Plan (HIP) member, remember these basic rules: You can only choose and change your doctor by talking with MDwise. Call MDwise customer service right away and confirm your doctor. Carry your member ID card with you at all times. Show your card every time you get health care.MDwise is an Indiana-based health coverage company. We provide Indiana families access to high quality health care. MDwise works ... • Pharmacy benefits and information. 2. 3 MDwise has a large network of doctors, specialists and hospitals throughout Indiana. We can help you make wise choices about317-983-7819 [email protected] David Hoover Region 5 317-983-7823 [email protected] Tonya Trout Region 6 317-308-7329 [email protected] Rebecca Church Region 7 317-308-7371 [email protected] Whitney Burnes Region 9 317-308-7345 [email protected] Nichole Young Behavioral Health (CMHC, OTP, IMD or Residential) 317-822-7509 [email protected] Better Health Newsletter. Fall 2023. Spring 2023. Stay informed with MDwise's Medicare Newsletter and communications. Get the best health care tips and updates!ABOUT MDwise MDwise is your local, Indiana-based nonprofit health care company. We were founded in 1994 to help vulnerable populations needing health coverage in Indiana.From that homepage, click PA Criteria and Administrative Form on the right. Under the heading Pharmacy Forms, snap on Pharmacy Prior Authorization Criteria and Forms. PA paper available drug on the SUPDL should be accessed from the list below. Please DO NOT take FFS PA drop for MDwise enrollees. SUPDL Preceded Authorization Forms

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MDwise is Here to Help. MDwise provides health care for two different Medicaid health plans: Hoosier Healthwise and Healthy Indiana Plan (HIP). If you are unsure about which health plan you participate in or have questions, please call customer service at 800.356.1204. MDwise customer service can provide language services or an interpreter ...Providers can telefax the completed Medication Request Submission to 858-790-7100. To find these forms go to ours Pharmacy form page. Formulary and Pharmacy Search. A searchable formulary and participating shopping are existing by selecting the links below for the MDwise Indian Healthwise plan. Find one our for HHW members Find a drug for HHW ...pharmacy benefits. Nurse Advice 833-327-0671 (TTY:711) 24 hours a day, seven days a week Call if you have an urgent health care issue after hours and follow the prompts to speak with a nurse Mail MDwise Medicare P.O. Box 44092 Indianapolis, IN 46244-0092 For Better Health is the member newsletter for MDwiseMDwise Formulary Introduction: Members must use MDwise network pharmacies to access their prescription drug benefit. How do I use the formulary? There are two ways to find your drHere's How to Check your coverage: Call the member service information number located on the back of your insurance card. Inform your insurance that you will be visiting MinuteClinic. Confirm your benefits and coverage for the specific service you're seeking. HMO members, please confirm your plan's rules to access MinuteClinic.Medicaid suitability review is underway for many MDwise members. Encourage patients to free my info using FSSA that they don't lose their health coverage! Authorisation Form as follows: o MDwise HIP at (866) 613-1642 o MDwise Hoosier Healthwise at (888) 465-5581. • Pharmacy benefit prior authorization requests ... MDwise Claim Contact Information. Medical Claims . Paper Claim Submissions . Electronic Claim Submissions . MDwise/McLaren Health Plans . Clearinghouse: Optum Financial This information can be found at FloridaHealthFinder.gov. Publix Pharmacy services are accessible to all. Read our notice of Healthcare Nondiscrimination. It is important to dispose of unused, unwanted, or expired medication properly. For more information, please refer to the U.S. Food and Drug Administration (FDA) guidelines for drug disposal. ….

Welcome to MDwise. At MDwise, you can earn cash for taking care of yourself. Your health plan comes with lots of rewards and ways to save. But did you know that new members can also receive a $30 Visa gift card just for taking a short health survey? Just make sure to complete your survey within your first 90 days as an MDwise member. Get ... Completely fill out the PA form including the rendering provider's NPI and TIN, the requestor's name along with phone and fax number. Be sure to note if PA is for a retroactive member. Hoosier Healthwise: 888-465-5581. Healthy Indiana Plan: Inpatient: 866-613-1631. All other authorizations: 866-613-1642.Pharmacy Information. The links below will provide information about the pharmacy benefit and preferred drugs and formularies. Anthem. CareSource. Managed Health Services …COVID-19. We are closely monitoring the Coronavirus (COVID-19) and are working hard to ensure you have the medicine you need. Birdi patients: Due to high call volumes, we encourage you to manage your prescriptions by signing into the portal below, or by calling (855) 873-8739 and selecting 1 to refill prescriptions using our automated phone ...(Section Name) menu MDwise Medicare. Contact Us; MDwise Medicare Seminar Information; View 2024 Plans. Compare Plans 2024; Enroll in a Plan; Find a Provider - MDwise Medicare. Find a Pharmacy; For MDwise Medicare Members. Advance Directive; Affordable Connectivity Program; How Do I Pay? MDwise Medicare Communications; Pharmacy. Drug Price SearchCompletely fill out the PA form including the rendering provider's NPI and TIN, the requestor's name along with phone and fax number. Be sure to note if PA is for a retroactive member. Hoosier Healthwise: 888-465-5581. Healthy Indiana Plan: Inpatient: 866-613-1631. All other authorizations: 866-613-1642.For information about specialty pharmacy, call 833-262-1726 or fax 833-263-2871. Business. Brokers and plan providers interested in learning more about CarelonRx are invited to connect with us to be contacted by a member of the CarelonRx team. You may also wish to subscribe to our news.Medicines for MDwise HIP elements are covered. You can go to any pharmacy within the MDwise drugstore network. Are you can dispensary questions or problems, please call 1-844-336-2677. The links below will provide information about the pharmacy benefit and favored drugs and formularies. Anthem · CareSource · Handled Medical Services (MHS) ... Medicines for MDwise Hoosier Healthwise members are covered. You can go to any MDwise participating pharmacy. If you have pharmacy questions or problems, please call 1-800-356-1204. You can find a list of all available pharmacies and drug prices on our Find a Pharmacy/Drug Price Check page. Copays for Package C Mdwise pharmacy, Director of Pharmacy at MDwise, Inc. 3y Report this post MDwise, Inc. 1,623 followers 3y The COVID-19 vaccine has arrived in Indiana for Hoosiers aged 65 and up, along with …, We would like to show you a description here but the site won't allow us., www.mdwise.org, IMPORTANT: All Indiana Medicaid programs started covering over-the-counter Covid-19 tests on February 1, 2022, through the pharmacy benefit: If you are in a managed care program (HIP, Hoosier Healthwise, Hoosier Care Connect), you may go to a pharmacy in your health plan's network and request up to two tests per member per seven days., MDwise HBC Broadway Church Homeless Shelter 4:00 AM - 6:00 AM 1412 Carroll St. South Bend, IN 46613 Learn More. Tue 30 Apr 2024 Spring Health Fair 4:00 PM - 7:00 PM 1 Berry Ln. Logansport, IN 46947 Learn More. Tue 07 May 2024 Member Advisory Committee Meeting (Counties: Clay, Hendricks, Parke, Putnam, Vermillion, Vigo and Owen) ..., MDwise, Inc. 1,526 followers 4h Report this post Report Report. Back Submit. Wendi Powell, PharmD ..., Amazon has recently launched its new online pharmacy service, Amazon Pharmacy, which allows customers to purchase prescription medications and other healthcare products from the co..., Medicines for MDwise Hooter Healthwise members are capped. You can go to no pharmacy that accepts Indiana Medicaid. If her have drugstore questions or problems, please summon 1-800-356-1204. You can find a list about all open pharmacies and drug prices on unsere Find a Pharmacy/Drug Charge Check page. How the Prescription Benefit Works for ..., This means that MDwise will cover the same preference and nonpreferred drugs and maintain the same clinical criteria requirements as other IN Medicaid providers. The Molina Healthcare of Ohio Preferred Rx List (PDL) was created to help administer the quality of our members' pharmacy benefit., A free "Medicare & You" handbook is available by visiting https://www.medicare.gov, or by calling 1-800-MEDICARE (1-800-633-4227), TTY: 877-488-2048, 24 hours a day, 7 days a week. » or You can join a private Medicare plan, like the MDwise Medicare plans. Carefully compare plans and benefits before enrolling., (Section Name) menu MDwise Medicare. Contact Us; MDwise Medicare Seminar Information; View 2024 Plans. Compare Plans 2024; Enroll in a Plan; Find a Provider - MDwise Medicare. Find a Pharmacy; For MDwise Medicare Members. Advance Directive; Affordable Connectivity Program; How Do I Pay? MDwise Medicare Communications; Pharmacy. Drug Price Search, MDwise Billing Methods Pharmacy Claims should be submitted to MedImpact Pharmacy Claims Electronic claims BIN -003585 PCN -ASPROD1 RX GROUP -MDW MedImpact Customer Service for Hoosier Healthwise/HIP prescribers, members, and pharmacies: 1-844-336-2677 (24 hours, 7 days per week)., Community pharmacy offering professional dispensing service, clinic services and deliveries within the Postmasburg area. History Services Send Message Alpha Pharm Pharmacies is the largest independent community care pharmacy group, where we put YOU the patient first as our primary focus. Our patient-centered care focuses on you the patient and ..., The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. We will notify affected enrollees about changes at least 30 days ... MDwise Medicare is an HMO with a Medicare contract. Enrollment in MDwise Medicare depends on contract renewal. Form Approved OMB# 0938-1421, All MDwise claims should be mailed to: MDwise P.O. Box 1575 Flint, MI 48501. Electronic Payer ID Numbers: Hoosier Healthwise EDI: 3519M Healthy Indiana Plan EDI: 3135M Medicare Advantage Plan EDI: MDADV. If a member is involved in an accident, subrogation communication should be sent to: Multiplan Phone: 866-223-9974 fax: 866-297-3112 Address:, Pharmacy Information. The links below will provide information about the pharmacy benefit and preferred drugs and formularies. Anthem. CareSource. Managed Health Services …, From the homepage, click PA Criteria and Administrative Forms on the right. Under the heading Pharmacy Forms, click on Pharmacy Prior Sanction Criteria both Forms. PA forms for dope on the SUPDL should be access from the list at. Please MAKE NON utilize FFS PA books available MDwise enrollees. SUPDL Past Authorization Forms, Independent pharmacy covering Salfords, Earlswood, Horley, Redhill, Reigate, Outwood and Woodhatch. We provide NHS and private prescription services and a range of services in our pharmacy. We specialise in looking after patients with chronic illnesses and those who have specific health and prescription needs., Pharmacy. When you need either prescription or over-the-counter (OTC) drugs, your doctor will write you a prescription. Your doctor will then contact your pharmacy, or you can take the prescription to your pharmacy to fill the order and get your drug (s). MHS is committed to providing appropriate, high-quality, and cost-effective drug therapy ..., MDwise MANAGED MEDICAID PRIOR AUTHORIZATION GUIDELINES HHW-HIPP0505(7/17) Page 3 Revised: 01/30/2023 ABATACEPT - IV Generic Brand HICL GCN Exception/Other ABATACEPT/MALTOSE ORENCIA - IV 26306 NOTE: For requests for the SQ dosage form of Orencia, please see the ABATACEPT SQ Guideline. GUIDELINES FOR USE, A health plan for adults age 19 - 64. Find a Provider in Healthy Indiana Plan. The Healthy Indiana Plan is an affordable health insurance program that serves uninsured Hoosiers between the ages of 19–64 who are not eligible for Medicaid or Medicare. This plan also includes pregnant women. , Completely fill out the PA form including the rendering provider's NPI and TIN, the requestor's name along with phone and fax number. Be sure to note if PA is for a retroactive member. Hoosier Healthwise: 888-465-5581. Healthy Indiana Plan: Inpatient: 866-613-1631. All other authorizations: 866-613-1642., Prescriptive property rights are interests in real property known as implied easements. The law regarding prescriptive easements is akin to the law of adverse possession, but unlik..., This means that MDwise will cover the same preferred and nonpreferred drugs and maintain which same clinical criteria requirements as other IN Medicaid suppliers. For pharmacists must, for questions regarding billing issues, claims processing and assistance with claim processes, call: 1-888-274-9689., Top 10 Best Pharmacy in Rio de Janeiro - RJ, Brazil - December 2023 - Yelp - Drogaria Venâncio, Farmácia do Leme, FarmaDez, Drogarias Pacheco, Farmais Drugstore, Drogaria Pacheco, Drogasmil, Droga Raia, Premier Copacabana, MDwise MANAGED MEDICAID PRIOR AUTHORIZATION GUIDELINES HHW-HIPP0505(7/17) Page 3 Revised: 01/30/2023 ABATACEPT - IV Generic Brand HICL GCN Exception/Other ABATACEPT/MALTOSE ORENCIA - IV 26306 NOTE: For requests for the SQ dosage form of Orencia, please see the ABATACEPT SQ Guideline. GUIDELINES FOR USE, Providers can telefax the completed Medication Request Submission to 858-790-7100. To find these forms go to ours Pharmacy form page. Formulary and Pharmacy Search. A searchable formulary and participating shopping are existing by selecting the links below for the MDwise Indian Healthwise plan. Find one our for HHW members Find a drug for HHW ..., From one homepage, click PA Criteria press Administrations Forms on the right. Under the title Pharmacy Forms, click on Pharmacy Former Authorizing Criteria and Forms. PA forms for drugs on one SUPDL require be accessed from the listing underneath. Asking DO NOT utilize FFS PA forms by MDwise enrollees. SUPDL Prior Authorization Forms, Pharmacists · Nurses and midwives. Aboriginal and Torres Strait Islander health professionals. Students. Popular tools. Medicine Finder. Find information on ..., Medicines for MDwise Hoosier Healthwise members are covered. You can go to any MDwise participating pharmacy. If you have pharmacy questions or problems, please call 1-800-356-1204. You can find a list of all available pharmacies and drug prices on our Find a Pharmacy/Drug Price Check page. Copays for Package C, Pharmacy Resources; Contact Information; Provider Programs. INcontrol Care Management; WISEinstitute Education; Provider Incentive Programs. ... If you, or someone you’re helping, has questions about MDwise, you have the right to get help and information in your language at no cost. To talk to an interpreter, call 1-800-356-1204 ..., Join us at a free seminar and learn more about what MDwise Medicare can offer you! SEMINAR DATES & LOCATIONS. Tuesday, Oct. 24 from 2-4 p.m. Best Western Plus Anderson. 2114 E 59th St. Anderson, IN 46013. Thursday, Oct. 26, from 10:00 a.m.-12 p.m. Golden Corral Buffet & Grill. 3625 E Main St., Email: [email protected]. Fax: 317-822-7310. Mail to: MDwise Provider Enrollment. PO Box 441423. Indianapolis, IN 46244. If the submission is received by MDwise Provider Enrollment via MProvider Connect, the submitter will receive an automated email acknowledgment within one hour of submission with the submission tracking number.