| Mr Richard Lee Wiesemann Ii, | |
|
980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814-2668 | |
| (208) 667-0621 | |
| Not Available |
| Full Name | Mr Richard Lee Wiesemann Ii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 980 W Ironwood Dr Ste 104, Coeur D Alene, Idaho |
| 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 |
|---|---|---|---|
| 1629220488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MT 543 (Montana) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-2733 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Patrick Hospital | Missoula, MT | Hospital |
| Community Medical Center | Missoula, MT | Hospital |
| Marcus Daly Memorial Hospital - Cah | Hamilton, MT | Hospital |
| Clark Fork Valley Hospital | Plains, MT | Hospital |
| St Luke Community Hospital | Ronan, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Five Valleys Urology | 3870497571 | 9 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Lee Wiesemann Ii, 1555 Liberty Ln Ste C, Missoula, MT 59808-2001 Ph: (406) 728-9545 | Mr Richard Lee Wiesemann Ii, 980 W Ironwood Dr Ste 104, Coeur D Alene, ID 83814-2668 Ph: (208) 667-0621 |
Heather Sarkis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W Dalton Ave, Coeur D Alene, ID 83815 Phone: 208-209-2066 Fax: 208-209-2076 | |
Mr. Jeffrey Benson Hargraves, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-620-5250 | |
Kendra Elaine Mcsheridan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708 | |
Mr. Ryan Lee Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 109 E Harrison Ave, Coeur D Alene, ID 83814 Phone: 208-292-0281 Fax: 844-807-3877 | |
Bree Ferguson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-765-1494 | |
John P Melgaard, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 914 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-765-5922 Fax: 208-664-3169 | |
Mrs. Alyssa Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 914 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814 Phone: 208-625-3500 Fax: 208-625-3501 |