Wendy E Wiese, CRNA in Fond Du Lac, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Wendy E Wiese, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fond Du Lac, Wisconsin. She graduated from nursing school in 2002 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mak Anesthesia Holdings, Llc and her current practice location is 430 E Division St, Suite 4, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-2300.

Wendy E Wiese is licensed to practice in Wisconsin (license number 147926) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1336125053.

Contact Information

	Wendy E Wiese, CRNA
	430 E Division St, Suite 4, Fond Du Lac, WI 54935-4560
	(920) 926-2300
	Not Available

Map and Direction

Provider's Profile

Full Name	Wendy E Wiese
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	23 Years
Location	430 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wendy E Wiese graduated from nursing school in 2002

NPI Data:

NPI Number: 1336125053
Provider Enumeration Date: 12/15/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2062475486
Enrollment ID: I20231114000690

Medical Identifiers

Medical identifiers for Wendy E Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336125053	NPI	-	NPPES
P00187576	Other	WI	RAILROAD MEDICARE
44333400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	147926 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mak Anesthesia Holdings, Llc	4284917204	169

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Wendy E Wiese allows following entities to bill medicare on her behalf.

Entity Name	Mak Anesthesia Holdings, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563

Entity Name	Mak Anesthesia Northside Affiliates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wendy E Wiese is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Wendy E Wiese, CRNA 420 E Division St, Suite 4, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340	Wendy E Wiese, CRNA 430 E Division St, Suite 4, Fond Du Lac, WI 54935-4560 Ph: (920) 926-2300

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fond Du Lac, WI

Mary Lausch Arrigoni, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-5942
Carol A Craig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-2300
Sydney Li Blaine, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1004 Bluehill Ave, Fond Du Lac, WI 54935 Phone: 920-904-4807
Mrs. Kelly Mukti Flynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300
Mr. Gilberto Cantu, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300
Steven J. Feit, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4920

Wendy E Wiese, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fond Du Lac, WI