Bradley A Wiesner, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grant, Nebraska. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Perkins County Hospital District and his current practice location is
900 Lincoln Ave, Grant, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(308) 352-7200.
Bradley A Wiesner is licensed to practice in Nebraska (license number 101208) 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 1508102450.
Provider's Profile
Full Name | Bradley A Wiesner |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 11 Years |
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Location | 900 Lincoln Ave, Grant, Nebraska |
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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. |
Medical Education and Training:
- Bradley A Wiesner graduated from nursing school in 2013
NPI Data:
- NPI Number: 1508102450
- Provider Enumeration Date: 12/21/2012
- Last Update Date: 12/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 1254574478
- Enrollment ID: I20130906000508
Medical Identifiers
Medical identifiers for Bradley A Wiesner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508102450 | NPI | - | NPPES |
10025589400 | Medicaid | NE | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | R 179376-9 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 101208 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Perkins County Hospital District | 0840109823 | 19 |
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. Bradley A Wiesner allows following entities to bill medicare on his behalf.
Entity Name | Perkins County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437167970 PECOS PAC ID: 0840109823 Enrollment ID: O20041007000699 |
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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. Bradley A 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 |
Bradley A Wiesner, CRNA 900 Lincoln Ave, Grant, NE 69140-3095 Ph: (308) 352-7200 | Bradley A Wiesner, CRNA 900 Lincoln Ave, Grant, NE 69140-3095 Ph: (308) 352-7200 |
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