Wendy E Wiese, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fond Du Lac, WI

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Wendy E Wiese, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fond Du Lac, Wisconsin. Her current practice location is 430 E Division St, Suite 4, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-2300.

Wendy E Wiese is licensed to practice in Wisconsin (license number 147926) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336125053.

Contact Information

Wendy E Wiese, CRNA
430 E Division St, Suite 4,
Fond Du Lac, WI 54935-4560
(920) 926-2300
Not Available

Map and Direction




Provider's Profile

Full NameWendy E Wiese
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location430 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336125053
  • Provider Enumeration Date: 12/15/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2062475486
  • Enrollment ID: I20041108000205

Medical Identifiers

Medical identifiers for Wendy E Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336125053NPI-NPPES
P00187576OtherWIRAILROAD MEDICARE
44333400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 147926 (Wisconsin)Primary

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. Wendy E Wiese allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194473066
PECOS PAC ID: 8628980943
Enrollment ID: O20220620000485

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. Wendy E 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 AddressPractice Location Address
Wendy E Wiese, CRNA
420 E Division St, Suite 4,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340		Wendy E Wiese, CRNA
430 E Division St, Suite 4,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-2300

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fond Du Lac, WI

Mary Lausch Arrigoni, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-5942    
Carol A Craig, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-2300    
Mr. Gilberto Cantu, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-2300    
Steven J. Feit, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-4920    
James G Vanbommel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 N Park Ave, Fond Du Lac, WI 54935
Phone: 920-921-8528    
Linda A Welch, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, Suite 4, Fond Du Lac, WI 54935
Phone: 920-926-2300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.