| Georg Kristofer Wiese, MD | |
|
34509 9th Ave S Ste 204, Federal Way, WA 98003-8708 | |
| (253) 835-5510 | |
| (253) 835-5511 |
| Full Name | Georg Kristofer Wiese |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 34509 9th Ave S Ste 204, Federal Way, Washington |
| 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 |
|---|---|---|---|
| 1598184731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME128351 (Florida) | Secondary |
| 208600000X | Surgery | MD61684844 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Medical Group Inc | 0749186153 | 1237 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Mailing Address | Practice Location Address |
|---|---|
| Georg Kristofer Wiese, MD 34509 9th Ave S Ste 204, Federal Way, WA 98003-8708 Ph: (253) 835-5510 | Georg Kristofer Wiese, MD 34509 9th Ave S Ste 204, Federal Way, WA 98003-8708 Ph: (253) 835-5510 |
Dr. Theodore Koichi Inouye, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 34509 9th Ave S, Ste 208, Federal Way, WA 98003 Phone: 253-944-3278 Fax: 253-944-4345 | |
Dr. Peter Vaughn Kilburn, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 34509 9th Ave S, Suite 309, Federal Way, WA 98003 Phone: 253-661-1814 Fax: 253-661-1489 | |
Gurteshwar Rana, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 34509 9th Ave S Ste 204, Federal Way, WA 98003 Phone: 253-835-5510 Fax: 253-835-5511 | |
Dr. Anna Hubbard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 34509 9th Ave S Ste 204, Federal Way, WA 98003 Phone: 253-835-5510 Fax: 253-835-5511 | |
Sameh Michael Salama, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 34509 9th Ave S Ste 204, Federal Way, WA 98003 Phone: 253-835-5510 Fax: 360-478-7241 | |
Dr. Michelle Lee Haslinger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 34509 9th Ave S Ste 204, Federal Way, WA 98003 Phone: 253-835-5510 Fax: 253-835-5511 | |
Jihui Li, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 34509 9th Ave S Ste 204, Federal Way, WA 98003 Phone: 253-835-5510 Fax: 253-835-5511 |