| Todd Michael Wiese, CRNA | |
|
3000 Triumph Boulevard, Lehi, UT 84043 | |
| (385) 345-3000 | |
| Not Available |
| Full Name | Todd Michael Wiese |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 3000 Triumph Boulevard, Lehi, Utah |
| 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 |
|---|---|---|---|
| 1851721013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 7417935-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Utah Adult Services | 0941525273 | 1593 |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Michael Wiese, CRNA 2615 W Cottonwood Dr, Lehi, UT 84043-5874 Ph: (801) 616-0607 | Todd Michael Wiese, CRNA 3000 Triumph Boulevard, Lehi, UT 84043 Ph: (385) 345-3000 |
Mr. Clive James Thirkill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Benjamin C Gerun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 | |
Daniel Cruttenden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3340 N Center St # 800, Lehi, UT 84043 Phone: 801-990-1910 | |
Jenna Veronica Mcrae, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Jonathan D Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Mr. Timothy I Macnair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Joseph Richard Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 |