Dr Beth Thomas Wiedeman, MD in Fayetteville, NY

Dr Beth Thomas Wiedeman, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, New York. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St Josephs Medical Pc and her current practice location is 4000 Medical Center Dr, Suite 104, Fayetteville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 663-0059.

Dr Beth Thomas Wiedeman is licensed to practice in New York (license number 211782.) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295797462.

Contact Information

	Dr Beth Thomas Wiedeman, MD
	4000 Medical Center Dr, Suite 104, Fayetteville, NY 13066-6635
	(315) 663-0059
	(315) 663-0123

Map and Direction

Physician's Profile

Full Name	Dr Beth Thomas Wiedeman
Gender	Female
Speciality	Family Practice
Experience	27 Years
Location	4000 Medical Center Dr, Fayetteville, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Beth Thomas Wiedeman graduated from medical school in 1997

NPI Data:

NPI Number: 1295797462
Provider Enumeration Date: 04/04/2006
Last Update Date: 05/26/2023

Medicare PECOS Information:

PECOS PAC ID: 9931154408
Enrollment ID: I20050317000339

Medical Identifiers

Medical identifiers for Dr Beth Thomas Wiedeman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295797462	NPI	-	NPPES
02158978	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	211782 (New York)	Secondary
207Q00000X	Family Medicine	211782. (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hcr / Hcr Home Care Chha (east Syracuse)	East syracuse, NY	Home health agency
St Joseph's Hospital Health Center	Syracuse, NY	Hospital
Oneida Healthcare Center	Oneida, NY	Hospital
University Hospital S U N Y Health Science Center	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Josephs Medical Pc	4688855844	300

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. Dr Beth Thomas Wiedeman allows following entities to bill medicare on her behalf.

Entity Name	St Josephs Hospital Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508815333 PECOS PAC ID: 9234043324 Enrollment ID: O20031113000400

Entity Name	St Josephs Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744

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. Dr Beth Thomas Wiedeman 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
Dr Beth Thomas Wiedeman, MD 5112 West Taft Road, Suite L, Liverpool, NY 13088 Ph: (315) 452-2500	Dr Beth Thomas Wiedeman, MD 4000 Medical Center Dr, Suite 104, Fayetteville, NY 13066-6635 Ph: (315) 663-0059

Reviews and Comments

Family Medicine Doctors in Fayetteville, NY

Vijaya Seepana, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878
Dr. Linda Nancy Robinson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7107 Thorntree Hill Dr, Fayetteville, NY 13066 Phone: 315-637-1201
Mark William Guelzow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Medical Center Dr Ste 1c, Fayetteville, NY 13066 Phone: 315-637-7878
Deann Lynn Cummings, MD. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4104 Medical Center Dr, Suite 104, Fayetteville, NY 13066 Phone: 315-663-0059 Fax: 315-663-0123
Allan M Birnbaum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878 Fax: 315-637-7870
Roshan Ghimire, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr, Suite 104, Fayetteville, NY 13066 Phone: 315-637-7878
Austin Tsai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr Suite 104, Fayetteville, NY 13066 Phone: 315-663-0059 Fax: 315-663-0123

Dr Beth Thomas Wiedeman, MD - Medicare Family Practice in Fayetteville, NY