Theodore Wiesner, MD in Denver, CO - Medicare Emergency Medicine

Theodore Wiesner, MD is a medicare enrolled "Emergency Medicine" physician in Denver, Colorado. His current practice location is 777 Bannock St, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 436-7142.

Theodore Wiesner is licensed to practice in Colorado (license number DR.0058658) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497173389.

Contact Information

	Theodore Wiesner, MD
	777 Bannock St, Denver, CO 80204
	(303) 436-7142
	Not Available

Map and Direction

Physician's Profile

Full Name	Theodore Wiesner
Gender	Male
Speciality	Emergency Medicine
Location	777 Bannock St, Denver, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497173389
Provider Enumeration Date: 03/28/2014
Last Update Date: 08/23/2018

Medicare PECOS Information:

PECOS PAC ID: 0749538247
Enrollment ID: I20180731001752

Medical Identifiers

Medical identifiers for Theodore Wiesner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497173389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A155718 (California)	Secondary
207P00000X	Emergency Medicine	ME136621 (Florida)	Secondary
207P00000X	Emergency Medicine	DR.0058658 (Colorado)	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. Theodore Wiesner allows following entities to bill medicare on his behalf.

Entity Name	Premier Emergency Physicians Of California Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578747606 PECOS PAC ID: 3870405384 Enrollment ID: O20041101000810

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. Theodore Wiesner 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
Theodore Wiesner, MD 450 W 14th Ave #48004, Denver, CO 80204 Ph: () -	Theodore Wiesner, MD 777 Bannock St, Denver, CO 80204 Ph: (303) 436-7142

Reviews and Comments

Emergency Medicine Doctors in Denver, CO

Dr. Peter A Alsharif, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-4949 Fax: 303-602-5184
Paul William Schadler, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 5th St, Plaza Building, Suite 150, Denver, CO 80204 Phone: 303-556-2525 Fax: 303-556-3881
James Bradley Ball, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2055 N High St Ste 340, Denver, CO 80205 Phone: 303-832-2344 Fax: 303-832-3721
Dr. Rochelle Ravishankara, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1375 E 19th Ave, Denver, CO 80218 Phone: 303-338-4545
Graham S Ingalsbe, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-5183
Cecilia Sorensen, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-6000
Lauran Wirfs, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5250 Leetsdale Dr, Denver, CO 80246 Phone: 303-629-5293

Theodore Wiesner, MD - Medicare Emergency Medicine in Denver, CO