| Brett Marvin Wiesen, | |
|
333 Cottman Ave, Philadelphia, PA 19111-2434 | |
| (215) 728-6900 | |
| (215) 214-1734 |
| Full Name | Brett Marvin Wiesen |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 333 Cottman Ave, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538794664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD494110 (Pennsylvania) | Primary |
| Entity Name | Temple Faculty Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Marvin Wiesen, 3509 N Broad St, Philadelphia, PA 19140-4105 Ph: (215) 707-3911 | Brett Marvin Wiesen, 333 Cottman Ave, Philadelphia, PA 19111-2434 Ph: (215) 728-6900 |
Joseph Francis Harryhill, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Mob Suite 300, Philadelphia, PA 19104 Phone: 215-662-8699 |
Laura Alexandra Masterson, CRNP Urology Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 |
Kathleen Hwang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3701 Market St Fl 8, Philadelphia, PA 19104 Phone: 215-662-8699 Fax: 215-243-2060 |
Marissa Maas, Urology Medicare: May Accept Medicare Assignments Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-728-2570 |
Alexander Kutikov, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111 Phone: 215-728-6900 Fax: 215-214-1734 |
Hannah Grace Pfrommer, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141 Phone: 215-456-2433 |
Mary Elizabeth Novak, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 3509 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3375 |