| Edward A Wiese, MD | |
|
2422 Lake Ave, Ashtabula, OH 44004-4985 | |
| (440) 992-4422 | |
| Not Available |
| Full Name | Edward A Wiese |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 2422 Lake Ave, Ashtabula, Ohio |
| 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 |
|---|---|---|---|
| 1235196866 | NPI | - | NPPES |
| 0386014 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35069100 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspen Valley Hospital | Aspen, CO | Hospital |
| Valley View Hospital Association | Glenwood springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspen Valley Hospital Clinics, Pllc | 3375891013 | 20 |
| Entity Name | Aspen Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518960814 PECOS PAC ID: 9234123266 Enrollment ID: O20040413000642 |
| Entity Name | Aspen Valley Hospital Clinics, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003306168 PECOS PAC ID: 3375891013 Enrollment ID: O20180813000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward A Wiese, MD 2422 Lake Ave, Ashtabula, OH 44004-4985 Ph: (440) 992-4422 | Edward A Wiese, MD 2422 Lake Ave, Ashtabula, OH 44004-4985 Ph: (440) 992-4422 |
Arthur W Molinoff, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Avenue, Ashtabula, OH 44004 Phone: 440-998-4775 Fax: 440-998-5922 | |
Dr. Mohammad Ali Varghai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2420 Lake Ave, Ashtabula, OH 44004 Phone: 440-994-7600 Fax: 440-994-7603 | |
Dr. Kelvin Arlson Cenac, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2420 Lake Ave, Ashtabula, OH 44004 Phone: 409-972-2624 | |
Mrs. Courtney Dean Borruso, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2131 Lake Ave Suite 4, Ashtabula, OH 44004 Phone: 440-964-3733 Fax: 440-964-7069 | |
Dr. Orlando Antonio Dsilva, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1111 Lake Ave, Ashtabula, OH 44004 Phone: 440-964-7121 Fax: 440-964-2251 | |
Dr. Harithsa Srinath Asuri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2210 S Ridge Rd E, Ashtabula, OH 44004 Phone: 513-834-7063 Fax: 513-873-1567 |