Dr Jerry Michael Wieting, DO is a
Physical Medicine & Rehabilitation physician based in New Tazewell, Tennessee. Dr Jerry Michael Wieting is licensed to practice in Michigan (license number 5101012414) and his current practice location is 424 N Broad St, New Tazewell, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 869-7193.
NPI number for Dr Jerry Michael Wieting is 1992733372 and his current mailing address is Po Box 367, Harrogate, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992733372.
Physician's Profile
| Full Name | Dr Jerry Michael Wieting |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 424 N Broad St, New Tazewell, Tennessee |
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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: 1992733372
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 07/31/2019
Medical Identifiers
Medical identifiers for Dr Jerry Michael Wieting such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992733372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 5101012414 (Michigan) | 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 Jerry Michael Wieting 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 Jerry Michael Wieting, DO
Po Box 367,
Harrogate, TN 37752-0367
Ph: (423) 869-7193 | Dr Jerry Michael Wieting, DO
424 N Broad St,
New Tazewell, TN 37825-6606
Ph: (423) 869-7193 |
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