Dr Bryan Wiederholt, DNAP, CRNA in Las Vegas, NV - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Bryan Wiederholt, DNAP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Las Vegas, Nevada. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Red Rock Anesthesia Consultants Llc, University Medical Center Of Southern Nevada and his current practice location is 1800 W. Charleston Blvd., Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 383-2000.

Dr Bryan Wiederholt is licensed to practice in Nevada (license number 845062) 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 1740953488.

Contact Information

	Dr Bryan Wiederholt, DNAP, CRNA
	1800 W. Charleston Blvd., Las Vegas, NV 89102
	(702) 383-2000
	(702) 383-3620

Map and Direction

Provider's Profile

Full Name	Dr Bryan Wiederholt
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	1800 W. Charleston Blvd., Las Vegas, Nevada
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 Bryan Wiederholt graduated from nursing school in 2021

NPI Data:

NPI Number: 1740953488
Provider Enumeration Date: 07/28/2021
Last Update Date: 03/03/2023

Medicare PECOS Information:

PECOS PAC ID: 2264837871
Enrollment ID: I20210819003125

Medical Identifiers

Medical identifiers for Dr Bryan Wiederholt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740953488	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	845062 (Nevada)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Medical Center	Las vegas, NV	Hospital
Centennial Hills Hospital Medical Center	Las vegas, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Red Rock Anesthesia Consultants Llc	4284910290	73
University Medical Center Of Southern Nevada	7315934429	243

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 Bryan Wiederholt allows following entities to bill medicare on his behalf.

Entity Name	University Medical Center Of Southern Nevada
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548393127 PECOS PAC ID: 7315934429 Enrollment ID: O20040429001053

Entity Name	Valley Anesthesiology Consultants-beckett-pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437326857 PECOS PAC ID: 6507925849 Enrollment ID: O20081031000516

Entity Name	Red Rock Anesthesia Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235660002 PECOS PAC ID: 4284910290 Enrollment ID: O20170405001723

Entity Name	Amin Dunckelmeyer And Luu Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093410045 PECOS PAC ID: 4385002682 Enrollment ID: O20230619001249

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 Bryan Wiederholt 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 Bryan Wiederholt, DNAP, CRNA 1800 W. Charleston Blvd., Las Vegas, NV 89102 Ph: (702) 383-2000	Dr Bryan Wiederholt, DNAP, CRNA 1800 W. Charleston Blvd., Las Vegas, NV 89102 Ph: (702) 383-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Las Vegas, NV

Morgan Che' Beeson, RN, MSN, CCRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9127 W Russell Rd Ste 110, Las Vegas, NV 89148 Phone: 702-878-0070 Fax: 702-209-2064
Gian Fule, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 Fax: 702-209-2064
Edgar Escobar, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000
Johnette M Seecof, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-877-8661
Mr. David Thomas Kwiatkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6008 Ridgecarn Ave, Las Vegas, NV 89130 Phone: 702-644-2124
Kristi Vick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3186 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-878-0070
Mr. Vance Glenn Gainer Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Las Vegas, NV 89191 Phone: 702-653-3526

Dr Bryan Wiederholt, DNAP, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Las Vegas, NV