Dr Wyatt Isaac Wiedenfeld, DPM is a medicare enrolled "Podiatrist" provider in Oconto Falls, Wisconsin. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis, St. Nicholas Hospital-sisters Of The Third Order Of St Francis and his current practice location is
853 S Main St, Oconto Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 496-4700.
Dr Wyatt Isaac Wiedenfeld is licensed to practice in Michigan (license number 5901002524) 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 1912310152.
Healthcare Provider's Profile
| Full Name | Dr Wyatt Isaac Wiedenfeld |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 10 Years |
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| Location | 853 S Main St, Oconto Falls, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Wyatt Isaac Wiedenfeld graduated from medical school in 2014
NPI Data:
- NPI Number: 1912310152
- Provider Enumeration Date: 06/05/2014
- Last Update Date: 04/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 1557651601
- Enrollment ID: I20180731001170
Medical Identifiers
Medical identifiers for Dr Wyatt Isaac Wiedenfeld such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912310152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 5901002524 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 546 |
| St. Nicholas Hospital-sisters Of The Third Order Of St Francis | 8325931652 | 151 |
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. Dr Wyatt Isaac Wiedenfeld allows following entities to bill medicare on his behalf.
| Provider Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172 |
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| Provider Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423 |
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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. Dr Wyatt Isaac Wiedenfeld 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 |
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Dr Wyatt Isaac Wiedenfeld, DPM
853 S Main St, Ste A,
Oconto Falls, WI 54154-1212
Ph: (920) 496-4700 | Dr Wyatt Isaac Wiedenfeld, DPM
853 S Main St,
Oconto Falls, WI 54154-1203
Ph: (920) 496-4700 |
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