Nicolas A Wieder, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Kennesaw, Georgia. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Neuroversion and his current practice location is
750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at
(818) 375-2000.
Nicolas A Wieder is licensed to practice in Georgia (license number 075400) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467500322.
Physician's Profile
| Full Name | Nicolas A Wieder |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 37 Years |
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| Location | 750 Townpark Lane, Kennesaw, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicolas A Wieder graduated from medical school in 1987
NPI Data:
- NPI Number: 1467500322
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 12/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 6305993551
- Enrollment ID: I20220609002949
Medical Identifiers
Medical identifiers for Nicolas A Wieder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467500322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | 20A5558 (California) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 075400 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Neuroversion | 7012297062 | 9 |
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. Nicolas A Wieder allows following entities to bill medicare on his behalf.
| Entity Name | Neuroversion |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487102208
PECOS PAC ID: 7012297062
Enrollment ID: O20161208000642 |
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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. Nicolas A Wieder 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 |
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Nicolas A Wieder, DO
3495 Piedmont Road, Ne, Nine Piedmont Center,
Atlanta, GA 30305
Ph: (404) 504-5678 | Nicolas A Wieder, DO
750 Townpark Lane, Kaiser Permanente Townpark Medical Center,
Kennesaw, GA 30144
Ph: (818) 375-2000 |
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