Dr Amy L Wiesch, DPM | |
11 Briarcliff Prof Ctr, Bourbonnais, IL 60914-1775 | |
(815) 933-7077 | |
(815) 933-4430 |
Full Name | Dr Amy L Wiesch |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 24 Years |
Location | 11 Briarcliff Prof Ctr, Bourbonnais, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396733549 | NPI | - | NPPES |
016005119 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016005119 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Foot And Ankle Clinics Pc | 5193744845 | 2 |
Provider Name | Associated Foot And Ankle Clinics Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730323817 PECOS PAC ID: 5193744845 Enrollment ID: O20051111000097 |
Mailing Address | Practice Location Address |
---|---|
Dr Amy L Wiesch, DPM 301 E Hickory St, Suite 2, Streator, IL 61364-2287 Ph: (815) 672-0280 | Dr Amy L Wiesch, DPM 11 Briarcliff Prof Ctr, Bourbonnais, IL 60914-1775 Ph: (815) 933-7077 |
Dr. Daniel N Benoit, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11 Briarcliff Prof Ctr, Bourbonnais, IL 60914 Phone: 815-933-7077 Fax: 815-933-4430 | |
Associated Foot And Ankle Clinics, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 11 Briarcliff Prof Ctr, Bourbonnais, IL 60914 Phone: 815-933-7077 Fax: 815-933-4430 | |
Dr. Jason L Serpe, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 400 Riverside Dr Ste 2100, Bourbonnais, IL 60914 Phone: 815-935-2991 Fax: 815-932-9659 | |
Dr. Dennis Michael Mcgrath Jr., D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2876 Chippewa Dr, Bourbonnais, IL 60914 Phone: 815-937-5264 | |
Foot Health Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 435 S Main St, Bourbonnais, IL 60914 Phone: 815-933-1633 Fax: 815-933-1728 | |
Louis Dennis Santangelo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 435 S Main St, Bourbonnais, IL 60914 Phone: 815-933-1633 Fax: 847-933-1728 |