Dr Gregory L Wiedel, MD | |
455 Kansas Ave Se, Huron, SD 57350-2522 | |
(605) 352-8767 | |
(605) 352-8784 |
Full Name | Dr Gregory L Wiedel |
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Gender | Male |
Speciality | Internal Medicine |
Location | 455 Kansas Ave Se, Huron, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033114871 | NPI | - | NPPES |
0003961 | Other | SD | WELLMARK |
110105454 | Other | SD | RAILROAD MEDICARE |
3959 | Other | SD | DAKOTACARE |
6002990 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 3959 (South Dakota) | Primary |
Entity Name | Huron Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154312429 PECOS PAC ID: 2769393388 Enrollment ID: O20040123000946 |
Mailing Address | Practice Location Address |
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Dr Gregory L Wiedel, MD Po Box 1411, Huron, SD 57350-1411 Ph: (605) 352-8767 | Dr Gregory L Wiedel, MD 455 Kansas Ave Se, Huron, SD 57350-2522 Ph: (605) 352-8767 |
Ruth G Mosqueda Lim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100018th St Sw, Suite 27, Huron, SD 57350 Phone: 605-554-1015 Fax: 605-554-1016 | |
Christopher Bronson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 534 Oregon Ave Se, Huron, SD 57350 Phone: 573-882-4464 | |
Dr. Robert C Hohm, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Kansas Ave Se, Huron, SD 57350 Phone: 605-352-8767 Fax: 605-352-8784 | |
William John Miner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Kansas Ave Se, Huron, SD 57350 Phone: 605-352-8767 Fax: 605-352-8784 |