| Mr Cole Anthony Wiedel, | |
|
1000 Rush Dr, Salida, CO 81201-9627 | |
| (719) 530-2200 | |
| Not Available |
| Full Name | Mr Cole Anthony Wiedel |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 11 Years |
| Location | 1000 Rush Dr, Salida, Colorado |
| 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 |
|---|---|---|---|
| 1396164265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | DR.0063983 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heart Of The Rockies Regional Medical Center | Salida, CO | Hospital |
| Gunnison Valley Hospital | Gunnison, CO | Hospital |
| Rio Grande Hospital | Del norte, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salida Hospital District | 3577451152 | 82 |
| Gunnison Valley Hospital | 8426040486 | 46 |
| Entity Name | Gunnison Valley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932109048 PECOS PAC ID: 8426040486 Enrollment ID: O20040331000463 |
| Entity Name | Salida Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972778272 PECOS PAC ID: 3577451152 Enrollment ID: O20040413000292 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cole Anthony Wiedel, 1000 Rush Dr, Salida, CO 81201-9627 Ph: (719) 530-2200 | Mr Cole Anthony Wiedel, 1000 Rush Dr, Salida, CO 81201-9627 Ph: (719) 530-2200 |
Thomas A Ferber, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 550 W Hwy 50, Salida, CO 81201 Phone: 719-530-2000 Fax: 719-530-2055 | |
Bradford L Moss, MD Urology Medicare: Medicare Enrolled Practice Location: 550 W Hwy 50, Salida, CO 81201 Phone: 719-530-2048 Fax: 719-530-2055 |