Mr Michael B Wiese, MD | |
183 Intrepid Ln, Syracuse, NY 13205-2548 | |
(315) 251-0401 | |
(315) 251-0405 |
Full Name | Mr Michael B Wiese |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 39 Years |
Location | 183 Intrepid Ln, Syracuse, New York |
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 |
---|---|---|---|
1538137005 | NPI | - | NPPES |
01499807 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 175162 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crouse Hospital | Syracuse, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedics East, Pc | 3375512320 | 2 |
Entity Name | Orthopedics East, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932266806 PECOS PAC ID: 3375512320 Enrollment ID: O20040928000156 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael B Wiese, MD 183 Intrepid Ln, Syracuse, NY 13205-2548 Ph: (315) 251-0401 | Mr Michael B Wiese, MD 183 Intrepid Ln, Syracuse, NY 13205-2548 Ph: (315) 251-0401 |
Jalal Sadrieh, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4900 Broad Rd, Ste North3e, Syracuse, NY 13215 Phone: 315-492-5864 Fax: 315-492-5285 | |
James Alan Lemley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Frederick R. Lemley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Justin Iorio, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 | |
Cassandra Riggs, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 | |
Dr. Brad Raphael, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-251-3100 Fax: 315-449-9923 | |
Dr. James Albert Shaw, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4400 |