Michelle Elise Wiese, MD in Fort Wayne, IN

Michelle Elise Wiese, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fort Wayne, Indiana. She went to University Of Nebraska College Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice The Association Of University Physicians and her current practice location is 909 E State Blvd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 481-2700.

Michelle Elise Wiese is licensed to practice in Indiana (license number 01093232A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003348343.

Contact Information

	Michelle Elise Wiese, MD
	909 E State Blvd, Fort Wayne, IN 46805-3404
	(260) 481-2700
	(260) 481-2838

Map and Direction

Physician's Profile

Full Name	Michelle Elise Wiese
Gender	Female
Speciality	Psychiatry
Experience	7 Years
Location	909 E State Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michelle Elise Wiese attended and graduated from University Of Nebraska College Of Medicine in 2017

NPI Data:

NPI Number: 1003348343
Provider Enumeration Date: 03/28/2017
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 1456629435
Enrollment ID: I20220519000472

Medical Identifiers

Medical identifiers for Michelle Elise Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003348343	NPI	-	NPPES
1003348343	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD60988236 (Washington)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	01093232A (Indiana)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Harborview Medical Center	Seattle, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Association Of University Physicians	0446162697	3017

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. Michelle Elise Wiese allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

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. Michelle Elise Wiese 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 Address	Practice Location Address
Michelle Elise Wiese, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Michelle Elise Wiese, MD 909 E State Blvd, Fort Wayne, IN 46805-3404 Ph: (260) 481-2700

Reviews and Comments

Psychiatry & Neurology Doctors in Fort Wayne, IN

Mrs. Eunice Wanjiku Hahn, PMHNP Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-206-7830
Rajesh Verma, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-460-1425
Kevin L. Murphy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1720 Beacon St, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8034
Dr. Marlene Clare Bultemeyer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-2416 Fax: 260-436-9662
Dr. Ahmed Zakria Youssef Elmaadawi, M.D., Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1720 Beacon St, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8024
Larry H. Lambertson, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2717

Michelle Elise Wiese, MD - Medicare Psychiatry in Fort Wayne, IN