| Michael Roger Wiedmer, MD | |
|
731 Leighton Ave, Suite 300, Anniston, AL 36207-5761 | |
| (256) 236-4121 | |
| (256) 237-5254 |
| Full Name | Michael Roger Wiedmer |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 31 Years |
| Location | 731 Leighton Ave, Anniston, Alabama |
| 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 |
|---|---|---|---|
| 1225027790 | NPI | - | NPPES |
| 051094128 | Other | AL | BLUE SHIELD |
| 000094128 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD.23204 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Alabama Regional Medical Center | Anniston, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Orthopaedic Alliance Pllc | 2365800604 | 98 |
| Entity Name | Anniston Orthopedics Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366636706 PECOS PAC ID: 3870495294 Enrollment ID: O20040124000279 |
| Entity Name | Southern Orthopaedic Alliance Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588364228 PECOS PAC ID: 2365800604 Enrollment ID: O20230620001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Roger Wiedmer, MD Po Box 1765, Anniston, AL 36202-1765 Ph: (256) 236-4121 | Michael Roger Wiedmer, MD 731 Leighton Ave, Suite 300, Anniston, AL 36207-5761 Ph: (256) 236-4121 |
Duane Dickie Tippets, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207 Phone: 256-236-4121 Fax: 256-237-5254 | |
Dr. Duane Michael Tippets, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207 Phone: 256-236-4121 Fax: 256-237-5254 | |
John Richard Payne, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207 Phone: 256-236-4121 Fax: 256-237-5254 | |
Gordon Townsend Hardy, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave, Suite 300, Anniston, AL 36207 Phone: 256-236-4121 Fax: 256-237-5254 | |
Andrew Charles Morris, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 731 Leighton Ave Ste 300, Anniston, AL 36207 Phone: 850-916-3700 | |
Dr. Morton Sumner Rickless, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 716 E 10th St, Suite B, Anniston, AL 36207 Phone: 256-238-9500 Fax: 256-238-9524 |