Brett W Wiesley, MD in Salt Lake City, UT - Medicare Emergency Medicine

Brett W Wiesley, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. His current practice location is 1200 E 3900 S, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 268-7975.

Brett W Wiesley is licensed to practice in Utah (license number 6108579-2105) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689615882.

Contact Information

	Brett W Wiesley, MD
	1200 E 3900 S, Salt Lake City, UT 84124-1300
	(801) 268-7975
	Not Available

Map and Direction

Physician's Profile

Full Name	Brett W Wiesley
Gender	Male
Speciality	Emergency Medicine
Location	1200 E 3900 S, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689615882
Provider Enumeration Date: 06/09/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 7810995065
Enrollment ID: I20061122000059

Medical Identifiers

Medical identifiers for Brett W Wiesley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689615882	NPI	-	NPPES
870306646002	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2345271 (New York)	Secondary
207P00000X	Emergency Medicine	6108579-2105 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brett W Wiesley allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Integrated Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013

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. Brett W Wiesley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brett W Wiesley, MD 1520 Roosevelt Ave, Salt Lake City, UT 84105-2731 Ph: (801) 906-8218	Brett W Wiesley, MD 1200 E 3900 S, Salt Lake City, UT 84124-1300 Ph: (801) 268-7975

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

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Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Brett W Wiesley, MD - Medicare Emergency Medicine in Salt Lake City, UT