| Nicholas M Wetjen, MD | |
|
815 Sw Bond St, Bend, OR 97702-3593 | |
| (541) 382-4900 | |
| Not Available |
| Full Name | Nicholas M Wetjen |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 26 Years |
| Location | 815 Sw Bond St, Bend, Oregon |
| 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 |
|---|---|---|---|
| 1275502726 | NPI | - | NPPES |
| 500865539 | Medicaid | OR | |
| R278555 | Other | OR | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 01087764A (Indiana) | Secondary |
| 207T00000X | Neurological Surgery | MD226031 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dupont Hospital Llc | Fort wayne, IN | Hospital |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | Hospital |
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Fort Wayne Physicians, Llc | 5193138527 | 64 |
| Indiana University Health Ball Memorial Physicians Inc | 9537072640 | 314 |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Allied Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366433369 PECOS PAC ID: 5193625846 Enrollment ID: O20040327000031 |
| Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas M Wetjen, MD 815 Sw Bond St, Bend, OR 97702-3593 Ph: (541) 382-4900 | Nicholas M Wetjen, MD 815 Sw Bond St, Bend, OR 97702-3593 Ph: (541) 382-4900 |
Dr. Norwyn Robert Newby, Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3054 Nw Duffy Dr, Bend, OR 97703 Phone: 541-410-3612 | |
Raymond Tien, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Nett Rd, Suite 200, Bend, OR 97701 Phone: 541-382-3344 Fax: 541-382-1681 | |
Neil Edmund Roundy, MD Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 2200 Ne Neff Rd Ste 200, Bend, OR 97701 Phone: 541-382-3344 Fax: 541-382-1681 | |
Priscilla Siyah Pang, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd Ste 200, Bend, OR 97701 Phone: 541-382-3344 | |
Mark Gregory Belza, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-389-4200 |