| Dr Scott David Wiedenmann, MD | |
|
128 Lagoon Forest Dr, Ponte Vedra Beach, FL 32082-2122 | |
| (904) 273-9591 | |
| (904) 273-9591 |
| Full Name | Dr Scott David Wiedenmann |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 128 Lagoon Forest Dr, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245340744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME51674 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott David Wiedenmann, MD 128 Lagoon Forest Dr, Ponte Vedra Beach, FL 32082-2122 Ph: (904) 273-9591 | Dr Scott David Wiedenmann, MD 128 Lagoon Forest Dr, Ponte Vedra Beach, FL 32082-2122 Ph: (904) 273-9591 |
Dr. Megan E Deacon-casey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 A1a N, Suite 322, Ponte Vedra Beach, FL 32082 Phone: 904-551-0703 Fax: 904-551-0709 | |
Raymond Balsys, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1337 Ponte Vedra Blvd, Ponte Vedra Beach, FL 32082 Phone: 904-273-5857 | |
Thomas Paganucci, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 24801 Deer Trace Dr, Ponte Vedra Beach, FL 32082 Phone: 904-613-2026 Fax: 904-280-9513 | |
Dr. Kevin C Jones, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 129 Carriage Lamp Way, Ponte Vedra Beach, FL 32082 Phone: 904-728-8825 | |
Shahid M Nasir, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1052 Ponte Vedra Blvd, Ponte Vedra Beach, FL 32082 Phone: 904-551-0703 Fax: 904-551-0709 | |
Buchra Watfa, ARNP Radiology Medicare: Not Enrolled in Medicare Practice Location: 330 A1a N, Ponte Vedra Beach, FL 32082 Phone: 904-280-0600 |