Dr Kristine Elizabeth Wiese, MD - Medicare Psychiatry & Neurology in Roseville, MN

Dr Kristine Elizabeth Wiese, MD is a medicare enrolled "Psychiatry & Neurology - Forensic Psychiatry" physician in Roseville, Minnesota. Her current practice location is 2277 Highway 36 W, Roseville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 255-0628.

Dr Kristine Elizabeth Wiese is licensed to practice in Minnesota (license number 39360) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073535977.

Contact Information

Dr Kristine Elizabeth Wiese, MD
2277 Highway 36 W,
Roseville, MN 55113-3804
(612) 255-0628
(612) 255-0647



Physician's Profile

Full NameDr Kristine Elizabeth Wiese
GenderFemale
SpecialityPsychiatry & Neurology - Forensic Psychiatry
Location2277 Highway 36 W, Roseville, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073535977
  • Provider Enumeration Date: 07/23/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678552783
  • Enrollment ID: I20040714000255

Medical Identifiers

Medical identifiers for Dr Kristine Elizabeth Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073535977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084F0202XPsychiatry & Neurology - Forensic Psychiatry 39360 (Minnesota)Primary

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. Dr Kristine Elizabeth Wiese allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461

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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. Dr Kristine Elizabeth 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
Dr Kristine Elizabeth Wiese, MD
Po Box 2182,
Burnsville, MN 55337-0008

Ph: (612) 670-1321
Dr Kristine Elizabeth Wiese, MD
2277 Highway 36 W,
Roseville, MN 55113-3804

Ph: (612) 255-0628

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Psychiatry & Neurology Doctors in Roseville, MN

Paul Brian Atkinson, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113
Phone: 651-241-5290    Fax: 651-241-5248
Lindsay Merriman, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 2990 Centre Pointe Dr, Roseville, MN 55113
Phone: 651-638-1560    Fax: 651-638-1580
Julie Estelle Macbain Hanna, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113
Phone: 651-241-5290    Fax: 651-241-5248
Dr. Palak Shah, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113
Phone: 651-241-5290    Fax: 651-241-5248
Serena Thompson,
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113
Phone: 651-241-5290    
Dr. Micaela T Chatman, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113
Phone: 651-241-5290    Fax: 651-241-5248

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