Carol Lydia Wiediger, APRN in Port Huron, MI - Medicare Nurse Practitioner

Carol Lydia Wiediger, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Port Huron, Michigan. She went to University Of Connecticut School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Edward W Sparrow Hospital Association, Trinity Health Of New England Provider Network Organization Inc, Allina Health System, Allina Health System, Geisinger Clinic, Tower Health Medical Group, Nuvance Health Medical Practice, Pc and her current practice location is 3111 Electric Ave, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 985-8900.

Carol Lydia Wiediger is licensed to practice in Oregon (license number 202201526NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033285242.

Contact Information

	Carol Lydia Wiediger, APRN
	3111 Electric Ave, Port Huron, MI 48060-8127
	(810) 985-8900
	Not Available

Map and Direction

Provider's Profile

Full Name	Carol Lydia Wiediger
Gender	Female
Speciality	Nurse Practitioner
Experience	36 Years
Location	3111 Electric Ave, Port Huron, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carol Lydia Wiediger attended and graduated from University Of Connecticut School Of Medicine in 1988

NPI Data:

NPI Number: 1033285242
Provider Enumeration Date: 11/28/2006
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2567546773
Enrollment ID: I20200714001083

Medical Identifiers

Medical identifiers for Carol Lydia Wiediger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033285242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704367059 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	403445 (New York)	Secondary
364S00000X	Clinical Nurse Specialist	000886 (Connecticut)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	202201526NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vassar Brothers Medical Center	Poughkeepsie, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edward W Sparrow Hospital Association	6709799166	525
Trinity Health Of New England Provider Network Organization Inc	0941113567	613
Allina Health System	4587573613	3101
Allina Health System	4587573613	3101
Geisinger Clinic	5395657001	2841
Tower Health Medical Group	7618889213	577
Nuvance Health Medical Practice, Pc	1658468442	457

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. Carol Lydia Wiediger allows following entities to bill medicare on her behalf.

Entity Name	Edward W Sparrow Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790

Entity Name	St Clair County Community Mental Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689783672 PECOS PAC ID: 7416861984 Enrollment ID: O20040901000060

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. Carol Lydia Wiediger 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
Carol Lydia Wiediger, APRN 500 Vine Street, Human Resources, Hartford, CT 06112 Ph: (860) 297-0905	Carol Lydia Wiediger, APRN 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: (810) 985-8900

Reviews and Comments

Nurse Practitioner Nurses in Port Huron, MI

Ms. Margaret Ann Gressle, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000
Justine Schrader, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1979 Holland Ave, Port Huron, MI 48060 Phone: 810-982-1200
Amy Storey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2669
Mrs. Sarah Colleen Ingles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2875 Henry St, Port Huron, MI 48060 Phone: 810-966-7804 Fax: 810-987-9148
Mrs. Elizabeth May Helmreich, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Stone St, Suite 5, Port Huron, MI 48060 Phone: 810-966-9556 Fax: 810-966-4898
Gudalia Fajardo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2603 Electric Ave Ste 1, Port Huron, MI 48060 Phone: 810-987-5252 Fax: 810-987-2120

Carol Lydia Wiediger, APRN - Medicare Nurse Practitioner in Port Huron, MI