Eric R Wiedower, DO | |
7945 Wolf River Blvd, Germantown, TN 38138-1733 | |
(901) 683-0055 | |
Not Available |
Full Name | Eric R Wiedower |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 14 Years |
Location | 7945 Wolf River Blvd, Germantown, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154633857 | NPI | - | NPPES |
08484348 | Medicaid | MS | |
Q022586 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 3015 (Tennessee) | Primary |
207RH0003X | Internal Medicine - Hematology & Oncology | 24301 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Baptist Memorial Hospital | Memphis, TN | Hospital |
Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
Regional One Health | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The West Clinic, Pllc | 2668360579 | 107 |
The West Clinic, Pllc | 2668360579 | 107 |
Entity Name | The West Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447276605 PECOS PAC ID: 2668360579 Enrollment ID: O20040310000740 |
Mailing Address | Practice Location Address |
---|---|
Eric R Wiedower, DO 7714 Poplar Ave Ste 200, Attn: Credentialing, Germantown, TN 38138-3941 Ph: (901) 683-0055 | Eric R Wiedower, DO 7945 Wolf River Blvd, Germantown, TN 38138-1733 Ph: (901) 683-0055 |
Homayoun Reza Ahmadian, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8060 Wolf River Blvd, Germantown, TN 38138 Phone: 901-271-1000 Fax: 901-271-4187 | |
Mehul B Patel, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7460 Wolf River Blvd, Germantown, TN 38138 Phone: 901-763-0200 Fax: 901-761-4002 | |
Dr. Peter David Snell, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-682-1233 Fax: 901-682-0044 | |
William Thomas Rawlinson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7205 Wolf River Blvd, Suite 100, Germantown, TN 38138 Phone: 901-684-1322 Fax: 901-682-6368 | |
Dr. Justin Leonadus Yancey, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7640 Wolf River Cir Fl 2, Germantown, TN 38138 Phone: 901-755-0208 Fax: 901-757-0208 | |
Dr. Michael Aaron Nelson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7751 Wolf River Blvd, Germantown, TN 38138 Phone: 901-297-4000 Fax: 901-531-8344 | |
Kurt W Tauer, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 7945 Wolf River Blvd, Germantown, TN 38138 Phone: 901-683-0055 Fax: 901-922-6757 |