| Dr Garry Dean Weide Jr, DO | |
|
202 10th St Se, Cedar Rapids, IA 52403-2414 | |
| (319) 362-5118 | |
| (319) 364-0574 |
| Full Name | Dr Garry Dean Weide Jr |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 21 Years |
| Location | 202 10th St Se, Cedar Rapids, Iowa |
| 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 |
|---|---|---|---|
| 1760559496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 036134829 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Cedar rapids, IA | Hospital |
| Regional Medical Center | Manchester, IA | Hospital |
| Jones Regional Medical Center | Anamosa, IA | Hospital |
| Compass Memorial Healthcare | Marengo, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Methodist Hospital | 6608786751 | 82 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Allen Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
| Entity Name | St Lukes Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073553939 PECOS PAC ID: 6608786751 Enrollment ID: O20040204000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Garry Dean Weide Jr, DO 202 10th St Se, Cedar Rapids, IA 52403-2414 Ph: (319) 362-5118 | Dr Garry Dean Weide Jr, DO 202 10th St Se, Cedar Rapids, IA 52403-2414 Ph: (319) 362-5118 |