Gregory N Wiersema, MST-CCC/A is a
Audiologist-hearing Aid Fitter based in Fond Du Lac, Wisconsin. Gregory N Wiersema is licensed to practice in Wisconsin (license number 55-156) and his current practice location is
221 Fond Du Lac Ave, Fond Du Lac, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 923-4678.
NPI number for Gregory N Wiersema is 1831195361 and his current mailing address is 221 Fond Du Lac Ave, Fond Du Lac, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831195361.
Healthcare Provider's Profile
Full Name | Gregory N Wiersema |
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Gender | Male |
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Speciality | Audiologist-hearing Aid Fitter |
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Location | 221 Fond Du Lac Ave, Fond Du Lac, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831195361
- Provider Enumeration Date: 06/21/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Gregory N Wiersema such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831195361 | NPI | - | NPPES |
41105900 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 55-156 (Wisconsin) | Primary |
237600000X | Audiologist-hearing Aid Fitter | 55-156 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gregory N Wiersema is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gregory N Wiersema, MST-CCC/A 221 Fond Du Lac Ave, Fond Du Lac, WI 54935-5303 Ph: (920) 923-4678 | Gregory N Wiersema, MST-CCC/A 221 Fond Du Lac Ave, Fond Du Lac, WI 54935-5303 Ph: (920) 923-4678 |
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