| Dr Julie A Wiese, MD | |
|
934 S Main St, Layton, UT 84041-7135 | |
| (801) 773-7060 | |
| Not Available |
| Full Name | Dr Julie A Wiese |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 27 Years |
| Location | 934 S Main St, Layton, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417931296 | NPI | - | NPPES |
| 292740 | Other | UT | DESERET MUTUAL |
| 346475 | Other | UT | UNKNOWN CARRIER |
| 942938348W11 | Other | UT | EDUCATORS MUTUAL |
| 10700772D103 | Other | UT | INTRMTN. HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 3090271205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Behavioral Care Of Ohio Inc | 7719325083 | 47 |
| Entity Name | Sundance Behavioral Resources Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326157355 PECOS PAC ID: 5496979239 Enrollment ID: O20140617001287 |
| Entity Name | Optum Behavioral Care Of Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942076633 PECOS PAC ID: 7719325083 Enrollment ID: O20240723004739 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julie A Wiese, MD 934 S Main St, Layton, UT 84041-7135 Ph: (801) 773-7060 | Dr Julie A Wiese, MD 934 S Main St, Layton, UT 84041-7135 Ph: (801) 773-7060 |
Rene Valles, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Patrick Aaron Bell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Mohamed Habibulla Sadiq, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 | |
Dr. Christopher M Lang, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 | |
Orin H Ogilvie, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2250 Robins Dr, Layton, UT 84041 Phone: 801-773-7060 | |
Brent R Amil, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 |