Dr Kenneth Maxim Wiedemann, PHD PSYCHOLOGIST in Tustin, CA

Dr Kenneth Maxim Wiedemann, PHD PSYCHOLOGIST is a medicare enrolled "Psychologist" provider in Tustin, California. His current practice location is 14771 Plaza Dr Ste L, Tustin, California. You can reach out to his office (for appointments etc.) via phone at (714) 731-1995.

Dr Kenneth Maxim Wiedemann is licensed to practice in California (license number 17821) 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 1467549964.

Contact Information

	Dr Kenneth Maxim Wiedemann, PHD PSYCHOLOGIST
	14771 Plaza Dr Ste L, Tustin, CA 92780-8012
	(714) 731-1995
	(714) 669-8135

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Maxim Wiedemann
Gender	Male
Speciality
Experience	Years
Location	14771 Plaza Dr Ste L, Tustin, California
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:

Dr Kenneth Maxim Wiedemann attended and graduated from in

NPI Data:

NPI Number: 1467549964
Provider Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Kenneth Maxim Wiedemann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467549964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	17821 (California)	Primary

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 Kenneth Maxim Wiedemann 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
Dr Kenneth Maxim Wiedemann, PHD PSYCHOLOGIST 14771 Plaza Dr Ste L, Tustin, CA 92780-8012 Ph: (714) 731-1995	Dr Kenneth Maxim Wiedemann, PHD PSYCHOLOGIST 14771 Plaza Dr Ste L, Tustin, CA 92780-8012 Ph: (714) 731-1995

Reviews and Comments

Psychologist in Tustin, CA

Jennifer Anker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16282 E Main St, Apt 21f, Tustin, CA 92780 Phone: 210-861-5366
Ya-shu Liang, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17632 Irvine Blvd, Suite 250, Tustin, CA 92780 Phone: 714-494-7479
Daniel Tucker, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14751 Plaza Dr, Suite F, Tustin, CA 92780 Phone: 714-884-9561 Fax: 714-544-4472
Dr. Alan Liberman, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 242 W Main St, 200 D, Tustin, CA 92780 Phone: 714-730-2080 Fax: 714-730-1627
Dr. Negar Taslimi, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 17671 Irvine Blvd, Tustin, CA 92780 Phone: 949-478-5763
Dr. Jenny Yip, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave Ste 122, Tustin, CA 92780 Phone: 949-328-7688
Dr. Jeanne B. Haislett, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17401 Irvine Blvd, Suite A, Tustin, CA 92780 Phone: 714-544-2366 Fax: 562-431-1138

Dr Kenneth Maxim Wiedemann, PHD PSYCHOLOGIST - Medicare Psychologist in Tustin, CA