| Mr Jacob Dean Wiegand, | |
|
411 W Tipton St, Seymour, IN 47274-2363 | |
| (812) 522-2349 | |
| Not Available |
| Full Name | Mr Jacob Dean Wiegand |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 411 W Tipton St, Seymour, Indiana |
| 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 |
|---|---|---|---|
| 1669006466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28195010A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Schneck Medical Center | Seymour, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jackson County Schneck Memorial Hospital | 8224004585 | 119 |
| Entity Name | Jackson County Schneck Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629143037 PECOS PAC ID: 8224004585 Enrollment ID: O20041029000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Dean Wiegand, 411 W Tipton St, Seymour, IN 47274-2363 Ph: (812) 522-3429 | Mr Jacob Dean Wiegand, 411 W Tipton St, Seymour, IN 47274-2363 Ph: (812) 522-2349 |
Ms. Jessica S Flowers, CRNA, DNP Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 411 W Tipton St, Seymour, IN 47274 Phone: 812-522-2349 | |
Mr. Robert Judge, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 411 W Tipton St, Seymour, IN 47274 Phone: 812-522-2349 | |
Karen S Stumpf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 411 W Tipton St, Seymour, IN 47274 Phone: 812-522-2349 | |
Jeanne Madden, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 411 W Tipton St, Seymour, IN 47274 Phone: 812-522-2349 | |
Dr. Robert Elliott Crider, DNP Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 411 W Tipton St, Seymour, IN 47274 Phone: 812-522-2349 Fax: 812-522-0532 | |
Mr. David Lynn Proffer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 411 W Tipton St, Seymour, IN 47274 Phone: 812-522-0429 |