Dr Jacob Anthony Wiesen, MD in Fremont, NE

Dr Jacob Anthony Wiesen, MD is a medicare enrolled "General Practice" physician in Fremont, Nebraska. He went to University Of Nebraska College Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice North Platte Nebraska Hospital Corporation and his current practice location is 2540 N Healthy Way, Fremont, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 721-6333.

Dr Jacob Anthony Wiesen is licensed to practice in Nebraska (license number 5413) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831317346.

Contact Information

	Dr Jacob Anthony Wiesen, MD
	2540 N Healthy Way, Fremont, NE 68025-2315
	(402) 721-6333
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jacob Anthony Wiesen
Gender	Male
Speciality	General Surgery
Experience	18 Years
Location	2540 N Healthy Way, Fremont, Nebraska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacob Anthony Wiesen attended and graduated from University Of Nebraska College Of Medicine in 2006

NPI Data:

NPI Number: 1831317346
Provider Enumeration Date: 04/22/2007
Last Update Date: 01/21/2016

Medicare PECOS Information:

PECOS PAC ID: 1153471099
Enrollment ID: I20090615000388

Medical Identifiers

Medical identifiers for Dr Jacob Anthony Wiesen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831317346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	5413 (Nebraska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Great Plains Health	North platte, NE	Hospital
Cozad Community Hospital	Cozad, NE	Hospital
Gothenburg Memorial Hospital	Gothenburg, NE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Platte Nebraska Hospital Corporation	6507856697	161

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 Jacob Anthony Wiesen allows following entities to bill medicare on his behalf.

Entity Name	North Platte Nebraska Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700855533 PECOS PAC ID: 6507856697 Enrollment ID: O20040512000889

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 Jacob Anthony Wiesen 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 Jacob Anthony Wiesen, MD 2540 N Healthy Way, Fremont, NE 68025-2315 Ph: (402) 721-6333	Dr Jacob Anthony Wiesen, MD 2540 N Healthy Way, Fremont, NE 68025-2315 Ph: (402) 721-6333

Dr Jacob Anthony Wiesen, MD - Medicare General Surgery in Fremont, NE