Theron J Wiese, PA-C in Salem, OR - Medicare Physician Assistant

Theron J Wiese, PA-C is a medicare enrolled "Physician Assistant - Medical" in Salem, Oregon. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Salem Sleep Medicine Pc and his current practice location is 1395 Commercial St Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 990-7187.

Theron J Wiese is licensed to practice in Oregon (license number PA184738) 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 1841648862.

Contact Information

	Theron J Wiese, PA-C
	1395 Commercial St Se, Salem, OR 97302-4205
	(503) 990-7187
	Not Available

Map and Direction

Provider's Profile

Full Name	Theron J Wiese
Gender	Male
Speciality	Physician Assistant
Experience	7 Years
Location	1395 Commercial St Se, Salem, Oregon
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:

Theron J Wiese graduated from nursing school in 2017

NPI Data:

NPI Number: 1841648862
Provider Enumeration Date: 05/31/2016
Last Update Date: 10/24/2017

Medicare PECOS Information:

PECOS PAC ID: 9830457159
Enrollment ID: I20171214001558

Medical Identifiers

Medical identifiers for Theron J Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841648862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA184738 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Salem Sleep Medicine Pc	7517155047	2

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. Theron J Wiese 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
Theron J Wiese, PA-C 6108 Sw 18th Dr Apt 9, Portland, OR 97239-1951 Ph: (971) 344-9996	Theron J Wiese, PA-C 1395 Commercial St Se, Salem, OR 97302-4205 Ph: (503) 990-7187

Reviews and Comments

Physician Assistant Nurses in Salem, OR

Mr. Christopher Michael Simpson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 890 Oak St Se Bldg A, Salem, OR 97301 Phone: 503-814-1278 Fax: 503-814-1071
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Jessica Frances Baca, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-814-0273 Fax: 503-814-0273

Theron J Wiese, PA-C - Medicare Physician Assistant in Salem, OR