Ethan Ron Wiesler, MD | |
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
(336) 716-2255 | |
(336) 716-8018 |
Full Name | Ethan Ron Wiesler |
---|---|
Gender | Male |
Speciality | Hand Surgery |
Experience | 30 Years |
Location | Medical Center Blvd, Winston Salem, North Carolina |
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 |
---|---|---|---|
1538146147 | NPI | - | NPPES |
126FF | Other | BCBS | |
2280373A | Other | NC | MEDCIARE |
36195 | Other | PARTNERS | |
7122310 | Other | AETNA | |
89126FF | Medicaid | NC | |
98579 | Other | MEDCOST | |
200043944 | Other | RR MEDICARE | |
1850002000 | Medicaid | WV | |
6402941 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | 96-00222 (North Carolina) | Primary |
207X00000X | Orthopaedic Surgery | 9600222 (North Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
Davie Medical Center | Mocksville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wake Forest University Health Sciences | 4486564952 | 2048 |
Entity Name | Wake Forest University Health Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Entity Name | Wake Forest Health Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477785756 PECOS PAC ID: 4183538895 Enrollment ID: O20031117000868 |
Mailing Address | Practice Location Address |
---|---|
Ethan Ron Wiesler, MD Po Box 344, Winston Salem, NC 27102-0344 Ph: (336) 716-2255 | Ethan Ron Wiesler, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
David Franklin Martin, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-8018 | |
Dr. Sharon Nicole Babcock, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Lauren Borowski, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Wake Forest Baptist Medical Ctr, Medical Center Boulevard - Dept Of Family Medicine, Winston Salem, NC 27157 Phone: 336-716-4479 | |
Dr. Muthana A Al-rayyan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-8018 | |
Dr. Eben A Carroll, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-8018 | |
John Thomas Mcmurtry, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 170 Kimel Park Dr, Winston Salem, NC 27103 Phone: 704-323-2000 | |
Dr. Michael David Lauffenburger, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 170 Kimel Park Dr, Winston Salem, NC 27103 Phone: 704-323-2000 |