Shelby Elizabeth Wiedmann, is a
Peer Specialist based in Puyallup, Washington. Shelby Elizabeth Wiedmann is licensed to practice in Washington (license number CG60964652) and her current practice location is
325 E Pioneer, Puyallup, Washington. She can be reached at her office (for appointments etc.) via phone at
(253) 697-8400.
NPI number for Shelby Elizabeth Wiedmann is 1942866835 and her current mailing address is 325 E Pioneer, Puyallup, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942866835.
Healthcare Provider's Profile
Full Name | Shelby Elizabeth Wiedmann |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 325 E Pioneer, Puyallup, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942866835
- Provider Enumeration Date: 05/15/2019
- Last Update Date: 05/21/2019
Medical Identifiers
Medical identifiers for Shelby Elizabeth Wiedmann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942866835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | CG60964652 (Washington) | Secondary |
175T00000X | Peer Specialist | CG60964652 (Washington) | 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. Shelby Elizabeth Wiedmann 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 |
Shelby Elizabeth Wiedmann, 325 E Pioneer, Puyallup, WA 98372-3265 Ph: (253) 697-8400 | Shelby Elizabeth Wiedmann, 325 E Pioneer, Puyallup, WA 98372-3265 Ph: (253) 697-8400 |
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