| Dr Jason C Wieseler, PSYD | |
|
400 E Sheridan Rd, Melbourne, FL 32901-3122 | |
| (321) 722-5200 | |
| Not Available |
| Full Name | Dr Jason C Wieseler |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 22 Years |
| Location | 400 E Sheridan Rd, Melbourne, Florida |
| 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 |
|---|---|---|---|
| 1528095544 | NPI | - | NPPES |
| 076722100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PY7276 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parrish Medical Center | Titusville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Space Coast Health Centers Inc | 8224445531 | 4 |
| Entity Name | Space Coast Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144819319 PECOS PAC ID: 8224445531 Enrollment ID: O20210405001096 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason C Wieseler, PSYD 400 E Sheridan Rd, Melbourne, FL 32901-3122 Ph: (321) 722-5200 | Dr Jason C Wieseler, PSYD 400 E Sheridan Rd, Melbourne, FL 32901-3122 Ph: (321) 722-5200 |
Chad Breznay, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 |
Sheila Ponce, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Commerce Dr, Melbourne, FL 32904 Phone: 321-952-6000 |
Dr. Krista Puente Trefz, PSY,D, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 E Sheridan Rd, Melbourne, FL 32901 Phone: 321-242-3110 Fax: 321-242-7464 |
Dr. Ivy Chong, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 150 W University Blvd, Scott Center For Autism Treatment, Melbourne, FL 32901 Phone: 321-674-8615 Fax: 321-674-8411 |
Dr. Frank M Webbe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 150 W University Blvd, Florida Tech School Of Psychology, Melbourne, FL 32901 Phone: 321-674-8104 Fax: 321-674-7105 |
Dr. Camellia Ann Westwell, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Veterans Way, Melbourne, FL 32940 Phone: 321-637-3788 |
Kristopher J Olsen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6767 N Wickham Rd, Suite 306, Melbourne, FL 32940 Phone: 321-751-1925 Fax: 321-751-9261 |