Mr Richard Lee Wiesemann Ii, | |
1555 Liberty Ln Ste C, Missoula, MT 59808-2001 | |
(406) 728-9545 | |
Not Available |
Full Name | Mr Richard Lee Wiesemann Ii |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 16 Years |
Location | 1555 Liberty Ln Ste C, Missoula, Montana |
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 |
---|---|---|---|
1629220488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | MT 543 (Montana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Patrick Hospital | Missoula, MT | Hospital |
Marcus Daly Memorial Hospital - Cah | Hamilton, MT | Hospital |
Community Medical Center | Missoula, MT | Hospital |
Clark Fork Valley Hospital | Plains, MT | Hospital |
St Luke Community Hospital | Ronan, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Five Valleys Urology | 3870497571 | 9 |
Marcus Daly Memorial Hospital Corporation | 5597664474 | 90 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Lee Wiesemann Ii, 1555 Liberty Ln Ste C, Missoula, MT 59808-2001 Ph: (406) 728-9545 | Mr Richard Lee Wiesemann Ii, 1555 Liberty Ln Ste C, Missoula, MT 59808-2001 Ph: (406) 728-9545 |
Patricia Lynn Brewer, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2415 S Catlin St, Missoula, MT 59801 Phone: 406-549-0267 | |
Ann Maureen O'connor, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 | |
Ruth M West, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 N Orange St, Suite #207, Missoula, MT 59802 Phone: 406-721-4540 | |
Mr. Damien Colvin Powledge, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-543-7271 | |
Mr. Matthew Mcgady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W Broadway St, Missoula, MT 59802 Phone: 406-543-7271 Fax: 406-327-1834 | |
Ms. Mindy Opper, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 825 W. Kent St., Missoula, MT 59801 Phone: 406-721-1646 Fax: 406-543-9890 | |
Aaron J Derry, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 West Broadway, Missoula, MT 59802 Phone: 406-721-5600 Fax: 406-721-3907 |