Mrs Jacqueline Paula Wiesner, is a
Massage Therapist based in North Fort Myers, Florida. Mrs Jacqueline Paula Wiesner is licensed to practice in Florida (license number MA13010) and her current practice location is
13180 N Cleveland Ave Ste 117, North Fort Myers, Florida. She can be reached at her office (for appointments etc.) via phone at
(239) 218-3764.
NPI number for Mrs Jacqueline Paula Wiesner is 1760998173 and her current mailing address is 4312 S Gulf Cir, North Fort Myers, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760998173.
Healthcare Provider's Profile
Full Name | Mrs Jacqueline Paula Wiesner |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 13180 N Cleveland Ave Ste 117, North Fort Myers, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760998173
- Provider Enumeration Date: 12/20/2017
- Last Update Date: 06/18/2019
Medical Identifiers
Medical identifiers for Mrs Jacqueline Paula Wiesner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760998173 | NPI | - | NPPES |
675966100 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA13010 (Florida) | Primary |
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. Mrs Jacqueline Paula Wiesner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jacqueline Paula Wiesner, 4312 S Gulf Cir, North Fort Myers, FL 33903-5046 Ph: (239) 218-3764 | Mrs Jacqueline Paula Wiesner, 13180 N Cleveland Ave Ste 117, North Fort Myers, FL 33903-6230 Ph: (239) 218-3764 |
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