Dr Harald Ja Wiedemann, MD is a
Anesthesiology physician based in Ketchum, Idaho. Dr Harald Ja Wiedemann is licensed to practice in Idaho (license number M-2626) and his current practice location is 114 Deer Run Rd., Ketchum, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 726-5592.
NPI number for Dr Harald Ja Wiedemann is 1619103249 and his current mailing address is Po Box 2290, Ketchum, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619103249.
Physician's Profile
| Full Name | Dr Harald Ja Wiedemann |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 114 Deer Run Rd., Ketchum, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619103249
- Provider Enumeration Date: 06/10/2009
- Last Update Date: 01/31/2014
Medical Identifiers
Medical identifiers for Dr Harald Ja Wiedemann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619103249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | M-2626 (Idaho) | Primary |
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 Harald Ja Wiedemann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Harald Ja Wiedemann, MD
Po Box 2290,
Ketchum, ID 83340-2290
Ph: (208) 726-5592 | Dr Harald Ja Wiedemann, MD
114 Deer Run Rd.,
Ketchum, ID 83340-2290
Ph: (208) 726-5592 |
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