Brandon J Wiese, DO - Medicare Family Practice in Springfield, MO

Brandon J Wiese, DO is a medicare enrolled "Family Medicine" physician in Springfield, Missouri. He went to Kansas City College Of Medicine And Surgery and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Southern Missouri Ambulatory Services Llc and his current practice location is 900 E Battlefield St Ste 124, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 986-1289.

Brandon J Wiese is licensed to practice in Texas (license number P8564) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720373673.

Contact Information

Brandon J Wiese, DO
900 E Battlefield St Ste 124,
Springfield, MO 65807-5208
(417) 986-1289
Not Available



Physician's Profile

Full NameBrandon J Wiese
GenderMale
SpecialityFamily Practice
Experience13 Years
Location900 E Battlefield St Ste 124, Springfield, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandon J Wiese attended and graduated from Kansas City College Of Medicine And Surgery in 2011
  NPI Data:
  • NPI Number: 1720373673
  • Provider Enumeration Date: 06/17/2011
  • Last Update Date: 02/13/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5092936195
  • Enrollment ID: I20190307002668

Medical Identifiers

Medical identifiers for Brandon J Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720373673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine P8564 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Southern Missouri Ambulatory Services Llc519308962136

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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. Brandon J Wiese allows following entities to bill medicare on his behalf.
Entity NameMercy Southern Missouri Ambulatory Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871094052
PECOS PAC ID: 5193089621
Enrollment ID: O20180508002317

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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. Brandon J 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 AddressPractice Location Address
Brandon J Wiese, DO
900 E Battlefield St Ste 124,
Springfield, MO 65807-5208

Ph: (417) 986-1289
Brandon J Wiese, DO
900 E Battlefield St Ste 124,
Springfield, MO 65807-5208

Ph: (417) 986-1289

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Family Medicine Doctors in Springfield, MO

Shalvinder Kaur Seehra, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3525 E Battlefield St, Springfield, MO 65809
Phone: 417-269-1499    Fax: 417-269-1459
Harwinder K Dhanoa,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1540 E Evergreen St, Springfield, MO 65803
Phone: 417-823-2900    
Thomas E Dahlberg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3322 S Campbell Ave Ste T-1, Springfield, MO 65807
Phone: 417-220-4480    Fax: 417-414-0017
Dr. John H Brown, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3231 S National Ave, Suite 280, Springfield, MO 65807
Phone: 417-885-0834    Fax: 417-888-6763
Dr. Jay L Sparks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3231 S National Ave, Suite 220, Springfield, MO 65807
Phone: 417-820-7450    Fax: 417-820-7455
Dr. Conrad Mitchell Bajor, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1235 E Cherokee St, Springfield, MO 65804
Phone: 417-820-2600    
Dr. William Russell Detten, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1530 E Republic Rd, Springfield, MO 65804
Phone: 417-269-1362    Fax: 417-269-1372

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