Mrs Samantha Nicole Wiegand, EDS, MS - Psychologist in O Fallon, IL

Mrs Samantha Nicole Wiegand, EDS, MS is a Psychologist - School based in O Fallon, Illinois. Mrs Samantha Nicole Wiegand is licensed to practice in Illinois (license number 2379352) and her current practice location is 707 N Smiley St, O Fallon, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 632-6391.

NPI number for Mrs Samantha Nicole Wiegand is 1841919701 and her current mailing address is 4826 Red Oak Dr, Waterloo, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841919701.

Contact Information

Mrs Samantha Nicole Wiegand, EDS, MS
707 N Smiley St,
O Fallon, IL 62269-1353
(618) 632-6391
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Samantha Nicole Wiegand
GenderFemale
SpecialityPsychologist - School
Location707 N Smiley St, O Fallon, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841919701
  • Provider Enumeration Date: 08/24/2022
  • Last Update Date: 08/24/2022

Medical Identifiers

Medical identifiers for Mrs Samantha Nicole Wiegand such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841919701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 2379352 (Illinois)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. Mrs Samantha Nicole Wiegand is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Samantha Nicole Wiegand, EDS, MS
4826 Red Oak Dr,
Waterloo, IL 62298-3068

Ph: (618) 540-4135
Mrs Samantha Nicole Wiegand, EDS, MS
707 N Smiley St,
O Fallon, IL 62269-1353

Ph: (618) 632-6391

Reviews and Comments


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