Dr Kristine Elizabeth Wiese, MD in Roseville, MN - Medicare Psychiatry & Neurology

Dr Kristine Elizabeth Wiese, MD is a medicare enrolled "Psychiatry & Neurology - Forensic Psychiatry" physician in Roseville, Minnesota. Her current practice location is 2277 Highway 36 W, Roseville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 255-0628.

Dr Kristine Elizabeth Wiese is licensed to practice in Minnesota (license number 39360) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073535977.

Contact Information

	Dr Kristine Elizabeth Wiese, MD
	2277 Highway 36 W, Roseville, MN 55113-3804
	(612) 255-0628
	(612) 255-0647

Map and Direction

Physician's Profile

Full Name	Dr Kristine Elizabeth Wiese
Gender	Female
Speciality	Psychiatry & Neurology - Forensic Psychiatry
Location	2277 Highway 36 W, Roseville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073535977
Provider Enumeration Date: 07/23/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3678552783
Enrollment ID: I20040714000255

Medical Identifiers

Medical identifiers for Dr Kristine Elizabeth Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073535977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084F0202X	Psychiatry & Neurology - Forensic Psychiatry	39360 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kristine Elizabeth Wiese allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristine Elizabeth Wiese is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kristine Elizabeth Wiese, MD Po Box 2182, Burnsville, MN 55337-0008 Ph: (612) 670-1321	Dr Kristine Elizabeth Wiese, MD 2277 Highway 36 W, Roseville, MN 55113-3804 Ph: (612) 255-0628

Reviews and Comments

Psychiatry & Neurology Doctors in Roseville, MN

Paul Brian Atkinson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5248
Lindsay Merriman, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2990 Centre Pointe Dr, Roseville, MN 55113 Phone: 651-638-1560 Fax: 651-638-1580
Julie Estelle Macbain Hanna, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5248
Dr. Palak Shah, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5248
Serena Thompson, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290
Dr. Micaela T Chatman, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5248

Dr Kristine Elizabeth Wiese, MD - Medicare Psychiatry & Neurology in Roseville, MN