| Jeffrey Alan Wieder, MD | |
| 2999 Regent St, #612, Berkeley, CA 94705-2146 | |
| (510) 848-1727 | |
| (510) 848-8224 | 
| Full Name | Jeffrey Alan Wieder | 
|---|---|
| Gender | Male | 
| Speciality | Urology - Pediatric Urology | 
| Location | 2999 Regent St, Berkeley, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760559264 | NPI | - | NPPES | 
| YYY49005Y | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | A71035 (California) | Primary | 
| Entity Name | Golden Gate Urology Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063640738 PECOS PAC ID: 4284789710 Enrollment ID: O20090903000742 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeffrey Alan Wieder, MD 2999 Regent St, #612, Berkeley, CA 94705-2146 Ph: (510) 848-1727 | Jeffrey Alan Wieder, MD 2999 Regent St, #612, Berkeley, CA 94705-2146 Ph: (510) 848-1727 | 
| Dr. Daniel Thomas Oberlin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2999 Regent St Ste 612, Berkeley, CA 94705 Phone: 510-848-1727 Fax: 510-848-8224 | |
| Chi Keung Lee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2999 Regent St, #612, Berkeley, CA 94705 Phone: 510-848-1733 Fax: 510-848-8224 | |
| Joel Abram Piser, MD Urology Medicare: Medicare Enrolled Practice Location: 2999 Regent St Ste 612, Berkeley, CA 94705 Phone: 510-848-1727 Fax: 510-848-8224 | |
| Greg Barme, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2999 Regent St Ste 612, Berkeley, CA 94705 Phone: 510-848-1727 Fax: 510-848-8224 | |
| Jon W Floyd, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2999 Regent St, #612, Berkeley, CA 94705 Phone: 510-848-1733 Fax: 510-848-8224 | |
| Allison Sih, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2999 Regent St Ste 612, Berkeley, CA 94705 Phone: 510-848-1727 Fax: 510-848-8224 |