Eric Walton Wideman, in Fort Collins, CO - Medicare Emergency Medicine

Eric Walton Wideman, is a medicare enrolled "Emergency Medicine" physician in Fort Collins, Colorado. His current practice location is 1024 S Lemay Ave, Fort Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 306-7783.

Eric Walton Wideman is licensed to practice in Colorado (license number DR.0046167) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598848442.

Contact Information

	Eric Walton Wideman,
	1024 S Lemay Ave, Fort Collins, CO 80524-3929
	(303) 306-7783
	(303) 306-7753

Map and Direction

Physician's Profile

Full Name	Eric Walton Wideman
Gender	Male
Speciality	Emergency Medicine
Location	1024 S Lemay Ave, Fort Collins, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598848442
Provider Enumeration Date: 10/23/2006
Last Update Date: 03/05/2014

Medicare PECOS Information:

PECOS PAC ID: 9537160924
Enrollment ID: I20080627000494

Medical Identifiers

Medical identifiers for Eric Walton Wideman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598848442	NPI	-	NPPES
63506840	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5101016186 (Michigan)	Secondary
207P00000X	Emergency Medicine	DR.0046167 (Colorado)	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. Eric Walton Wideman allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Of The Rockies, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174570717 PECOS PAC ID: 0345232492 Enrollment ID: O20040401001494

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. Eric Walton Wideman 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
Eric Walton Wideman, Po Box 912215, Denver, CO 80291-2215 Ph: (303) 306-7783	Eric Walton Wideman, 1024 S Lemay Ave, Fort Collins, CO 80524-3929 Ph: (303) 306-7783

Reviews and Comments

Emergency Medicine Doctors in Fort Collins, CO

Keasha Nohelani Kuhnen, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753
Bryan K Beck, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2127 E Harmony Rd Ste 140, Fort Collins, CO 80528 Phone: 970-297-6250 Fax: 970-297-6260
Thomas John Fralich, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753
Tyler Creighton Vaughn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753
Jeremy Salsberg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 970-495-7611
Devin A. Rickett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753
Shelley W. Moore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3519 Richmond Dr, Fort Collins, CO 80526 Phone: 970-204-0300 Fax: 970-221-5206

Eric Walton Wideman, - Medicare Emergency Medicine in Fort Collins, CO