Channing C Wiersema, MD | |
2401 Plover Rd, Plover, WI 54467-3916 | |
(715) 295-3800 | |
Not Available |
Full Name | Channing C Wiersema |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 2401 Plover Rd, Plover, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457416166 | NPI | - | NPPES |
32381800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38945 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension At Home | Marshfield, WI | Home health agency |
Ascension St Michaels Hospital | Stevens point, WI | Hospital |
Aspirus Wausau Hospital | Wausau, WI | Hospital |
Ascension St Marys Hospital | Rhinelander, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aspirus Stevens Point Hospital And Clinics, Inc. | 1850358938 | 125 |
Aspirus Rhinelander And Tomahawk Hospitals And Clinics Inc | 9335059856 | 321 |
Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
Mailing Address | Practice Location Address |
---|---|
Channing C Wiersema, MD 900 Illinois Ave, Stevens Point, WI 54481-3114 Ph: () - | Channing C Wiersema, MD 2401 Plover Rd, Plover, WI 54467-3916 Ph: (715) 295-3800 |
Mark F Fenlon, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 Plover Road, Plover, WI 54467 Phone: 715-259-3800 | |
Timothy J Wirtz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 Plover Road, Plover, WI 54467 Phone: 715-295-3800 | |
Leah Krueger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 Plover Rd, Plover, WI 54467 Phone: 715-295-3800 | |
Anneliese Bessette, APNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 Plover Rd, Plover, WI 54467 Phone: 715-295-3800 |