Dr Jenny Wiedel, MD | |
2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | |
(941) 766-4255 | |
Not Available |
Full Name | Dr Jenny Wiedel |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 2500 Harbor Blvd, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588956056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME154764 (Florida) | Secondary |
207P00000X | Emergency Medicine | D0076315 (Maryland) | Primary |
Entity Name | Mep Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164483558 PECOS PAC ID: 5193610319 Enrollment ID: O20050105000930 |
Entity Name | Mep Observation Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093003550 PECOS PAC ID: 2365611845 Enrollment ID: O20110818000338 |
Mailing Address | Practice Location Address |
---|---|
Dr Jenny Wiedel, MD 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 Ph: (941) 766-4255 | Dr Jenny Wiedel, MD 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 Ph: (941) 766-4255 |
Dr. Robert Leyrer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 305-665-4614 | |
Kevin J Desantis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066 | |
Raymond Allen James, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-627-6130 Fax: 941-627-6146 | |
Dr. Matthew Wiesinger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4122 | |
Daniel O'leary, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 305-665-4614 | |
Matthew Shannon Johnson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066 |