Dr Paul Robert Wiese, PHD | |
1116 N Chipman St, Owosso, MI 48867-4901 | |
(906) 362-7726 | |
(989) 472-4110 |
Full Name | Dr Paul Robert Wiese |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 30 Years |
Location | 1116 N Chipman St, Owosso, Michigan |
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 |
---|---|---|---|
1578901559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 673 (West Virginia) | Secondary |
103T00000X | Psychologist | 6301008035 (Michigan) | Primary |
103K00000X | Behavior Analyst | FL EXEMPT 490.014 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bcs Of Michigan Llc | 0840503652 | 23 |
Entity Name | Seniors Wellness Group Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801848718 PECOS PAC ID: 7012950462 Enrollment ID: O20050607000150 |
Entity Name | Seniors Wellness Group Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801848718 PECOS PAC ID: 7012950462 Enrollment ID: O20050607000229 |
Entity Name | Bcs Of Michigan Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164816195 PECOS PAC ID: 0840503652 Enrollment ID: O20150723007021 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Robert Wiese, PHD 1116 N Chipman St, Owosso, MI 48867-4901 Ph: (906) 362-7726 | Dr Paul Robert Wiese, PHD 1116 N Chipman St, Owosso, MI 48867-4901 Ph: (906) 362-7726 |
Nickolas Bushon, M.A., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 Fax: 989-725-5061 | |
Margaret M Hickey, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 | |
Marianne Sylvain, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 Fax: 989-725-5061 | |
Craig John Hause, MALLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 Fax: 989-725-5061 | |
Sarah Marie Arnold, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1555 Industrial Dr, Owosso, MI 48867 Phone: 989-723-6791 Fax: 989-725-5061 | |
Dr. Terrence Joseph Johnson, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 802 W King St, Suite P, Owosso, MI 48867 Phone: 989-723-1120 Fax: 989-729-6506 |