Todd Michael Wiese, CRNA | |
3000 Triumph Boulevard, Lehi, UT 84043 | |
(385) 345-3000 | |
Not Available |
Full Name | Todd Michael Wiese |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 3000 Triumph Boulevard, Lehi, Utah |
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 |
---|---|---|---|
1851721013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 7417935-4405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Utah Adult Services | 0941525273 | 1435 |
Entity Name | University Of Utah Adult Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
---|---|
Todd Michael Wiese, CRNA 2615 W Cottonwood Dr, Lehi, UT 84043-5874 Ph: (801) 616-0607 | Todd Michael Wiese, CRNA 3000 Triumph Boulevard, Lehi, UT 84043 Ph: (385) 345-3000 |
Benjamin Gerun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 | |
Daniel Cruttenden, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3340 N Center St # 800, Lehi, UT 84043 Phone: 801-990-1910 | |
Jenna Veronica Mcrae, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Jonathan D Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Mr. Timothy I Macnair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Joseph Richard Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 | |
Brady W Sprague, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 |