| Dr James Alan Wiese, MD | |
|
2769 Heartland Drive, Suite 105, Coralville, IA 52241 | |
| (319) 545-7300 | |
| (319) 545-7314 |
| Full Name | Dr James Alan Wiese |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2769 Heartland Drive, Coralville, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588610661 | NPI | - | NPPES |
| 0057497 | Medicaid | IA | |
| 0081794 | Medicaid | IA | |
| 27997 | Other | IA | BLUE CROSS BLUE SHIELD |
| 32811 | Other | IA | BLUE CROSS BLUE SHIELD |
| 3081794 | Medicaid | IA | |
| 19476 | Other | IA | BLUE CROSS BLUE SHIELD |
| 42859 | Other | IA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 24575 (Iowa) | Primary |
| Entity Name | Radiologic Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023061702 PECOS PAC ID: 3577451491 Enrollment ID: O20040310000805 |
| Entity Name | Corridor Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679917371 PECOS PAC ID: 7214179829 Enrollment ID: O20130812000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Alan Wiese, MD 2771 Oakdale Blvd Ste 3, Coralville, IA 52241-9747 Ph: (319) 545-7310 | Dr James Alan Wiese, MD 2769 Heartland Drive, Suite 105, Coralville, IA 52241 Ph: (319) 545-7300 |
Dr. Colin James O'brien, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2769 Heartland Dr, Suite 105, Coralville, IA 52241 Phone: 319-545-7310 Fax: 319-545-7314 | |
Dr. Jared Wynn Nelson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2769 Heartland Drive, Suite 105, Coralville, IA 52241 Phone: 319-545-7300 Fax: 319-545-7314 | |
Dr. Scott Michael Truhlar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2769 Heartland Drive, Suite 105, Coralville, IA 52241 Phone: 319-545-7300 Fax: 319-545-7314 | |
Dr. Shane Arthur Kraske, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2769 Heartland Drive, Suite 105, Coralville, IA 52241 Phone: 319-545-7310 Fax: 319-545-7314 | |
Aminata Traore, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2771 Oakdale Blvd Ste 3, Coralville, IA 52241 Phone: 319-545-7310 | |
Dr. Kirk Kendal Garmager, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2769 Heartland Dr, Suite 105, Coralville, IA 52241 Phone: 319-545-7310 Fax: 319-545-7314 |