Dr Eric Andrew Wieman, MD | |
555 E Broadway Ave Ste 229, Jackson, WY 83001-8640 | |
(307) 739-7690 | |
(307) 739-7644 |
Full Name | Dr Eric Andrew Wieman |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 17 Years |
Location | 555 E Broadway Ave Ste 229, Jackson, Wyoming |
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 |
---|---|---|---|
1902021553 | NPI | - | NPPES |
145089100 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 10897A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Medical Center | Jackson, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Teton County Hospital District | 4880582295 | 106 |
Entity Name | Teton County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954 |
Mailing Address | Practice Location Address |
---|---|
Dr Eric Andrew Wieman, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 739-7690 | Dr Eric Andrew Wieman, MD 555 E Broadway Ave Ste 229, Jackson, WY 83001-8640 Ph: (307) 739-7690 |
Dr. Loren Douglas Nelson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 445 Flat Creek Dr # 3999, Jackson, WY 83001 Phone: 305-542-9038 | |
P George Poore, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway Ste 212, Jackson, WY 83001 Phone: 307-739-4662 Fax: 307-733-7679 | |
John C Payne, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 211, Jackson, WY 83001 Phone: 307-739-7618 Fax: 307-734-0077 | |
Laura Beth Cooper, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 260 N Millward St, Jackson, WY 83001 Phone: 307-699-3115 | |
Roland Fleck, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Suite 212, Jackson, WY 83001 Phone: 307-733-7677 Fax: 307-733-7679 | |
Dr. Michael Ward Rosenberg, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 555 E Broadway Ave, Suite #229, Jackson, WY 83001 Phone: 307-739-7690 Fax: 307-739-7644 | |
George Linhardt Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1205 W Hay Sled Dr, Jackson, WY 83001 Phone: 410-507-3310 |