Michael Alan Wiedemann, MD | |
200 West Esplanade Avenue, Kenner, LA 70065 | |
(504) 842-7588 | |
Not Available |
Full Name | Michael Alan Wiedemann |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 40 Years |
Location | 200 West Esplanade Avenue, Kenner, Louisiana |
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 |
---|---|---|---|
1306898002 | NPI | - | NPPES |
09459713 | Medicaid | MS | |
1112151 | Medicaid | LA | |
1380580 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD017792 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Ochsner Medical Center-kenner | Kenner, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ochsner Clinic Llc | 8224933619 | 2342 |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Michael Alan Wiedemann, MD 1514 Jefferson Highway, New Orleans, LA 70121 Ph: (504) 842-4000 | Michael Alan Wiedemann, MD 200 West Esplanade Avenue, Kenner, LA 70065 Ph: (504) 842-7588 |
Dr. Cynthia Alicia Williams, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 W Esplanade Ave, Suite314, Kenner, LA 70065 Phone: 504-464-8750 Fax: 504-464-8751 | |
Dr. Myron Ernest Moorehead Ii, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 W Esplanade Ave, Suite 311, Kenner, LA 70065 Phone: 504-467-0770 Fax: 504-467-0791 | |
Dr. Shontell Nakisha Thomas, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 180 West Esplanade Avenue, Kenner, LA 70065 Phone: 504-842-9206 | |
John P Mccrossen, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 180 W Esplanade Ave, Suite 501, Kenner, LA 70065 Phone: 504-842-9206 | |
Christine Widdows Jordan, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 200 West Esplanade Avenue, Kenner, LA 70065 Phone: 504-842-7588 | |
Dr. Nina Leigh Mimbs, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3555 Loyola Dr Apt D, Kenner, LA 70065 Phone: 504-464-8750 Fax: 504-464-8751 |