Jeffrey Scott Wieseman, RN, FNP | |
725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | |
(678) 207-4373 | |
(770) 533-4727 |
Full Name | Jeffrey Scott Wieseman |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 725 Jesse Jewell Pkwy Se, Gainesville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578040523 | NPI | - | NPPES |
003208071A | Medicaid | GA | |
06011176 | Other | GA | AMERIGROUP |
1692220 | Other | GA | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN145013 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN145013 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Longstreet Clinic, Pc | 2668465733 | 145 |
Entity Name | The Longstreet Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Scott Wieseman, RN, FNP Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Jeffrey Scott Wieseman, RN, FNP 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (678) 207-4373 |
Mrs. Nancy Fletcher Mccall, APRN-BC-CNSPMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4375 Spainhill Road, Gainesville, GA 30504 Phone: 770-654-4599 | |
Shelley Charmaine Martin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025 | |
Anela D Pearson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025 | |
Terri Penna Kemmerer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501 Phone: 770-536-9864 Fax: 770-297-5025 | |
Bryan Scott Engel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277 | |
Laura J Banner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520 | |
Molly Bruce, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501 Phone: 770-297-7277 |