Lisa M Wiedel, MD - Medicare Obstetrics & Gynecology in Saint Johns, FL

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Lisa M Wiedel, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Saint Johns, Florida. Her current practice location is 450 State Road 13, Ste 106-128, Saint Johns, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 616-8410.

Lisa M Wiedel is licensed to practice in Florida (license number ME110534) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831166966.

Contact Information

Lisa M Wiedel, MD
450 State Road 13, Ste 106-128,
Saint Johns, FL 32259-3860
(904) 616-8410
Not Available

Map and Direction




Physician's Profile

Full NameLisa M Wiedel
GenderFemale
SpecialityObstetrics & Gynecology
Location450 State Road 13, Saint Johns, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831166966
  • Provider Enumeration Date: 03/08/2006
  • Last Update Date: 03/07/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9931233103
  • Enrollment ID: I20121012000287

Medical Identifiers

Medical identifiers for Lisa M Wiedel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831166966NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 21690 (Oklahoma)Secondary
207V00000XObstetrics & Gynecology ME110534 (Florida)Primary

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. Lisa M Wiedel allows following entities to bill medicare on her behalf.
Entity NameHalifax Healthcare Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443
Entity NameAll Womens Healthcare Of West Broward Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952383127
PECOS PAC ID: 8426037151
Enrollment ID: O20040716000283
Entity NameFlagler Ob Gyn Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598910606
PECOS PAC ID: 2860539814
Enrollment ID: O20091022000676
Entity NameOb Hospitalist Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647334
PECOS PAC ID: 5193866838
Enrollment ID: O20100104000363

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. Lisa M Wiedel 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 AddressPractice Location Address
Lisa M Wiedel, MD
450 State Road 13, Ste 106-128,
Saint Johns, FL 32259-3860

Ph: () -		Lisa M Wiedel, MD
450 State Road 13, Ste 106-128,
Saint Johns, FL 32259-3860

Ph: (904) 616-8410

Reviews and Comments


Obstetrics & Gynecology Doctors in Saint Johns, FL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.