Mr Mark L Wiesner, DO - Medicare Pediatrics in Estes Park, CO

  1. Home
  2. Pediatrics
  3. CO
  4. Estes Park
Mr Mark L Wiesner, DO is a medicare enrolled "Pediatrics" physician in Estes Park, Colorado. His current practice location is 555 Prospect Ave, Estes Park, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 586-2200.

Mr Mark L Wiesner is licensed to practice in Colorado (license number 31069) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154304939.

Contact Information

Mr Mark L Wiesner, DO
555 Prospect Ave,
Estes Park, CO 80517-6312
(970) 586-2200
(970) 577-4536

Map and Direction




Physician's Profile

Full NameMr Mark L Wiesner
GenderMale
SpecialityPediatrics
Location555 Prospect Ave, Estes Park, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154304939
  • Provider Enumeration Date: 11/25/2005
  • Last Update Date: 08/28/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6800787771
  • Enrollment ID: I20040322000494

Medical Identifiers

Medical identifiers for Mr Mark L Wiesner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154304939NPI-NPPES
0725614MedicaidIA
WIA4011OtherCOANTHEM BCBS
01310697MedicaidCO
107825900MedicaidWY
841287602OtherCOCHAMPUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 31069 (Colorado)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Mark L Wiesner allows following entities to bill medicare on his behalf.
Entity NamePark Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467581470
PECOS PAC ID: 4688583826
Enrollment ID: O20040311000804
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225356868
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark L Wiesner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mark L Wiesner, DO
555 Prospect Ave,
Estes Park, CO 80517-6312

Ph: (970) 586-2200		Mr Mark L Wiesner, DO
555 Prospect Ave,
Estes Park, CO 80517-6312

Ph: (970) 586-2200

Reviews and Comments


Pediatrics Doctors in Estes Park, CO

Dr. Richard R Beesley, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 555 Prospect Ave, Estes Park, CO 80517
Phone: 970-586-2200    Fax: 970-586-9096
Dr. John D Cooper, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1950 Redtail Hawk Rd, Estes Park, CO 80517
Phone: 970-586-9230    Fax: 970-586-0292

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.