Dr Kathleen Marie Wiese, DO in Winston Salem, NC

Dr Kathleen Marie Wiese, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Winston Salem, North Carolina. She went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2002 and has 22 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Wakemed, Osf Multi-specialty Group and her current practice location is 3333 Silas Creek Pkwy, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 718-7597.

Dr Kathleen Marie Wiese is licensed to practice in North Carolina (license number 2007-01475) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790987923.

Contact Information

	Dr Kathleen Marie Wiese, DO
	3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013
	(336) 718-7597
	(336) 718-7598

Map and Direction

Physician's Profile

Full Name	Dr Kathleen Marie Wiese
Gender	Female
Speciality	Neurology
Experience	22 Years
Location	3333 Silas Creek Pkwy, Winston Salem, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kathleen Marie Wiese attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2002

NPI Data:

NPI Number: 1790987923
Provider Enumeration Date: 06/01/2007
Last Update Date: 10/25/2020

Medicare PECOS Information:

PECOS PAC ID: 7214020809
Enrollment ID: I20070912000886

Medical Identifiers

Medical identifiers for Dr Kathleen Marie Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790987923	NPI	-	NPPES
2007-01475	Other	NC	NC MED BOARD LICENSE
5907596	Medicaid	NC
1457P	Other	NC	BCBS NC
P00414192	Other	NC	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084V0102X	Psychiatry & Neurology - Vascular Neurology	2007-01475 (North Carolina)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	2007-01475 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital
Wakemed, Raleigh Campus	Raleigh, NC	Hospital
St Joseph Medical Center	Bloomington, IL	Hospital
Osf Heart Of Mary Medical Center	Urbana, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wakemed	7315937612	35
Osf Multi-specialty Group	3678889789	1552

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 Kathleen Marie Wiese allows following entities to bill medicare on her behalf.

Entity Name	Wakemed
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194907717 PECOS PAC ID: 7315937612 Enrollment ID: O20040722000418

Entity Name	Moses Cone Physician Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202

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 Kathleen Marie Wiese 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 Kathleen Marie Wiese, DO Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 718-7597	Dr Kathleen Marie Wiese, DO 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 718-7597

Reviews and Comments

Psychiatry & Neurology Doctors in Winston Salem, NC

William Tyler Cecil, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Department Of Psychiatry, 791 Jonestown Road, Winston Salem, NC 27103 Phone: 336-716-4551 Fax: 336-716-9642
Dr. James Dwight Mattox Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2990 Bethesda Pl, Suite 602 A, Winston Salem, NC 27103 Phone: 336-768-8281 Fax: 336-768-5685
Dr. Kenneth John Detrick, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 190 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-768-3296
Eugene Mindel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Aarti Sarwal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 716-336-9016
Scott Saucedo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7224 Fax: 336-718-7598
Nancy S Gaby, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3000 Bethesda Place, Ste 101, Winston Salem, NC 27103 Phone: 336-765-9750 Fax: 336-765-9710

Dr Kathleen Marie Wiese, DO - Medicare Neurology in Winston Salem, NC