| Elliana Regina Wiesner, MD | |
|
500 W 4th St, Odessa, TX 79761 | |
| (432) 640-4000 | |
| (432) 640-4606 |
| Full Name | Elliana Regina Wiesner |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 500 W 4th St, Odessa, Texas |
| 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 |
|---|---|---|---|
| 1699156273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | R4919 (Texas) | Secondary |
| 207R00000X | Internal Medicine | R4919 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hill Country Memorial Hospital Inc | Fredericksburg, TX | Hospital |
| Windcrest Nursing And Rehabilitation Center | Fredericksburg, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fredericksburg Clinic Pllc | 3375515992 | 10 |
| Hospitalist Medicine Physicians Of Texas Pllc | 3476688318 | 603 |
| Entity Name | Fredericksburg Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033145545 PECOS PAC ID: 3375515992 Enrollment ID: O20040812000578 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021 |
| Entity Name | Mch Professional Care Hospital Based |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447547773 PECOS PAC ID: 1557535127 Enrollment ID: O20111116000437 |
| Entity Name | Usacs Integrated Acute Care Services Of Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801300322 PECOS PAC ID: 7618237264 Enrollment ID: O20180131000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Elliana Regina Wiesner, MD Po Box 2129, Odessa, TX 79760-2129 Ph: (432) 640-4000 | Elliana Regina Wiesner, MD 500 W 4th St, Odessa, TX 79761 Ph: (432) 640-4000 |
Augusto C Sepulveda, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8050 E Highway 191, Suite 200, Odessa, TX 79765 Phone: 432-337-5411 Fax: 432-337-0301 | |
Suresh Prasad, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 403 Pittsburg Ave, Odessa, TX 79761 Phone: 432-332-3400 Fax: 432-332-6500 | |
Dr. Armugam Prasad Mekala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 Fax: 432-640-4778 | |
Shashank Satish Nayak, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5375 | |
Dr. Timothy Kilian George, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 N Washington Ave, Odessa, TX 79761 Phone: 432-335-8275 Fax: 432-334-0687 | |
Sam Eun Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8050 E Highway 191, Ste 200, Odessa, TX 79765 Phone: 432-337-5411 Fax: 432-561-5014 | |
Dr. Pankaj Khandelwal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 N Washington Ave, Odessa, TX 79761 Phone: 432-335-8275 Fax: 432-334-0687 |