| Jessica L Wiedman, CRNA | |
|
329 W 40th St, Scottsbluff, NE 69361-4634 | |
| (308) 635-3911 | |
| (308) 635-3130 |
| Full Name | Jessica L Wiedman |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 329 W 40th St, Scottsbluff, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417244898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 101161 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Torrington, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Hospital | 6608784194 | 17 |
| Entity Name | Platte County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265469506 PECOS PAC ID: 6709798150 Enrollment ID: O20031104000172 |
| Entity Name | Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669410643 PECOS PAC ID: 6608784194 Enrollment ID: O20040127001124 |
| Entity Name | Platte County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1265469506 PECOS PAC ID: 6709798150 Enrollment ID: O20061104000308 |
| Entity Name | Frontier Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568815843 PECOS PAC ID: 6507147717 Enrollment ID: O20170503001594 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica L Wiedman, CRNA 329 W 40th St, Scottsbluff, NE 69361-4634 Ph: (308) 635-3911 | Jessica L Wiedman, CRNA 329 W 40th St, Scottsbluff, NE 69361-4634 Ph: (308) 635-3911 |
Mr. Jon B. Nickell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2 W 42nd St, Suite 1500, Scottsbluff, NE 69361 Phone: 308-635-7362 | |
Charles William Bell, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 308-630-1380 Fax: 308-630-1354 | |
Thomas J Dredla Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 308-641-1311 Fax: 308-630-1656 | |
Chad Aaron Bagley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 308-635-3711 | |
Mr. Jared Dean Workman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4021 Avenue B, Scottsbluff, NE 69361 Phone: 308-635-3711 | |
Cindy R Braman, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: Two West 42nd St, Scottsbluff, NE 69361 Phone: 308-635-7362 Fax: 308-635-0426 |