| Dr John Walter Wiest, MD | |
|
1550 Ne 27th St Ste 100, Bend, OR 97701-7760 | |
| (541) 313-8111 | |
| (541) 313-8112 |
| Full Name | Dr John Walter Wiest |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 1550 Ne 27th St Ste 100, Bend, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073590998 | NPI | - | NPPES |
| 175216 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MD14474 (Oregon) | Primary |
| Entity Name | Oregon Vascular Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669917167 PECOS PAC ID: 8022386663 Enrollment ID: O20170622001858 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Walter Wiest, MD 1550 Ne 27th St Ste 100, Bend, OR 97701-7760 Ph: (413) 138-1115 | Dr John Walter Wiest, MD 1550 Ne 27th St Ste 100, Bend, OR 97701-7760 Ph: (541) 313-8111 |
Dr. Andrew Jon Riggle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd Ste 302, Bend, OR 97701 Phone: 541-706-6915 Fax: 541-706-6733 | |
Dr. Maryclare Sarff, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd Ste 302, Bend, OR 97701 Phone: 541-706-6915 Fax: 541-706-6733 | |
Michael Murphy Woll, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd Ste 302, Bend, OR 97701 Phone: 541-706-6915 Fax: 541-706-6733 | |
James Robert Ballard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1550 Ne 27th St Ste 100, Bend, OR 97701 Phone: 541-313-8111 Fax: 541-313-8111 | |
Anne Onishi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd Ste 302, Bend, OR 97701 Phone: 541-706-6915 Fax: 541-706-6733 | |
Xiao-yue Han, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 |