Mrs Holly Joy Wiesehan, ACNP in Fenton, MO - Medicare Nurse Practitioner

Mrs Holly Joy Wiesehan, ACNP is a medicare enrolled "Nurse Practitioner" in Fenton, Missouri. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ssm Medical Group Inc, Washington University, Washington University Physicians In Illinois, Inc and her current practice location is 1011 Bowles Ave Ste G50, Fenton, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 496-4640.

Mrs Holly Joy Wiesehan is licensed to practice in Missouri (license number 2015006317) 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 1609260116.

Contact Information

	Mrs Holly Joy Wiesehan, ACNP
	1011 Bowles Ave Ste G50, Fenton, MO 63026-0562
	(636) 496-4640
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Holly Joy Wiesehan
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1011 Bowles Ave Ste G50, Fenton, Missouri
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:

Mrs Holly Joy Wiesehan graduated from nursing school in 2014

NPI Data:

NPI Number: 1609260116
Provider Enumeration Date: 03/23/2015
Last Update Date: 04/18/2024

Medicare PECOS Information:

PECOS PAC ID: 4981925609
Enrollment ID: I20150608000293

Medical Identifiers

Medical identifiers for Mrs Holly Joy Wiesehan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609260116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2015006317 (Missouri)	Primary
363LG0600X	Nurse Practitioner - Gerontology	2015006317 (Missouri)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm Health St Mary's Hospital - St Louis	Richmond heights, MO	Hospital
Ssm St Clare Health Center	Fenton, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ssm Medical Group Inc	6608776299	496
Washington University	9830008770	2516
Washington University Physicians In Illinois, Inc	4789945163	99

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. Mrs Holly Joy Wiesehan allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

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 Holly Joy Wiesehan 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
Mrs Holly Joy Wiesehan, ACNP Po Box 955534, Saint Louis, MO 63195-5534 Ph: () -	Mrs Holly Joy Wiesehan, ACNP 1011 Bowles Ave Ste G50, Fenton, MO 63026-0562 Ph: (636) 496-4640

Reviews and Comments

Nurse Practitioner Nurses in Fenton, MO

Ms. Lita Lapins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 314-238-9100 Fax: 314-238-9110
Laura Howard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 Bowles Ave Ste 200, Fenton, MO 63026 Phone: 636-496-3900
Rebecca Theresa Medlock, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Marco Valley Ct, Fenton, MO 63026 Phone: 314-413-2187
Allison Kate Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Fenton, MO 63026 Phone: 314-200-2713
Brooke Salas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 774 Gravois Bluffs Blvd Ste A, Fenton, MO 63026 Phone: 636-343-5223
Mrs. Cynthia Visintine, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5022
Elizabeth Shipp, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5023

Mrs Holly Joy Wiesehan, ACNP - Medicare Nurse Practitioner in Fenton, MO