Erwin Wietrick, in Middletown, OH - Medicare Family Practice

Erwin Wietrick, is a medicare enrolled "Family Medicine" physician in Middletown, Ohio. He went to Edward Via Col Of Osteo Medicine-carolinas Campus and graduated in 2020 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Alliance Physicians Inc and his current practice location is 6147 State Route 122 Ste 200, Middletown, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 261-3500.

Erwin Wietrick is licensed to practice in Kentucky (license number TP719) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063040475.

Contact Information

	Erwin Wietrick,
	6147 State Route 122 Ste 200, Middletown, OH 45005-5201
	(513) 261-3500
	(513) 261-3509

Map and Direction

Physician's Profile

Full Name	Erwin Wietrick
Gender	Male
Speciality	Family Practice
Experience	5 Years
Location	6147 State Route 122 Ste 200, Middletown, 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.

Medical Education and Training:

Erwin Wietrick attended and graduated from Edward Via Col Of Osteo Medicine-carolinas Campus in 2020

NPI Data:

NPI Number: 1063040475
Provider Enumeration Date: 03/31/2020
Last Update Date: 11/24/2025

Medicare PECOS Information:

PECOS PAC ID: 5496179350
Enrollment ID: I20241018000287

Medical Identifiers

Medical identifiers for Erwin Wietrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063040475	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	TP719 (Kentucky)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	34.017377 (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kettering Medical Center	Kettering, OH	Hospital
Kettering Medical Center - Sycamore	Miamisburg, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alliance Physicians Inc	0840104360	277

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. Erwin Wietrick allows following entities to bill medicare on his behalf.

Entity Name	Alliance Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529

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. Erwin Wietrick 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
Erwin Wietrick, 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310	Erwin Wietrick, 6147 State Route 122 Ste 200, Middletown, OH 45005-5201 Ph: (513) 261-3500

Reviews and Comments

Family Medicine Doctors in Middletown, OH

Leah M Avera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6147 State Route 122 Ste 200, Middletown, OH 45005 Phone: 513-261-3500 Fax: 513-261-3509
Jon E Sulentic, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 275 N Breiel Blvd, Middletown, OH 45042 Phone: 513-424-7711 Fax: 513-424-3599
Shazia Khan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 9th Ave, Middletown, OH 45044 Phone: 513-425-8305 Fax: 513-425-1810
Dr. Elizabeth Wall Patterson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 N Breiel Blvd, Middletown, OH 45042 Phone: 513-424-2535 Fax: 513-424-0363
Dr. Mark Eugene Frazer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1010 Summit Drive, Middletown, OH 45042 Phone: 513-424-0122 Fax: 513-424-3863
Lester Dornon, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3290 Village Dr, Middletown, OH 45005 Phone: 513-622-7703 Fax: 513-424-7704

Erwin Wietrick, - Medicare Family Practice in Middletown, OH