Kevin Gerard Wietecha, DO - Medicare Endocrinology in Canton, OH

Kevin Gerard Wietecha, DO is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Canton, Ohio. He went to Michigan College Of Medicine And Surgery and graduated in 1991 and has 33 years of diverse experience with area of expertise as Endocrinology. He is a member of the group practice Northeast Ohio Endocrinology and his current practice location is 4634 Hills And Dales Rd Nw, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 477-0255.

Kevin Gerard Wietecha is licensed to practice in Ohio (license number 34-00-6364W) 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 1669450557.

Contact Information

Kevin Gerard Wietecha, DO
4634 Hills And Dales Rd Nw,
Canton, OH 44708-1510
(330) 477-0255
(330) 477-7266



Physician's Profile

Full NameKevin Gerard Wietecha
GenderMale
SpecialityEndocrinology
Experience33 Years
Location4634 Hills And Dales Rd Nw, Canton, Ohio
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:
  • Kevin Gerard Wietecha attended and graduated from Michigan College Of Medicine And Surgery in 1991
  NPI Data:
  • NPI Number: 1669450557
  • Provider Enumeration Date: 01/03/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7416955174
  • Enrollment ID: I20100521000575

Medical Identifiers

Medical identifiers for Kevin Gerard Wietecha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669450557NPI-NPPES
0247781MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 34-00-6364W (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aultman HospitalCanton, OHHospital
Aultman Orrville HospitalOrrville, OHHospital
Mercy Medical CenterCanton, OHHospital
Alliance Community HospitalAlliance, OHHospital
Union HospitalDover, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Ohio Endocrinology11533298006

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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. Kevin Gerard Wietecha allows following entities to bill medicare on his behalf.
Entity NameNortheast Ohio Endocrinology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255434494
PECOS PAC ID: 1153329800
Enrollment ID: O20061114000088

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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. Kevin Gerard Wietecha 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
Kevin Gerard Wietecha, DO
4634 Hills And Dales Rd Nw,
Canton, OH 44708-1510

Ph: (330) 477-0255
Kevin Gerard Wietecha, DO
4634 Hills And Dales Rd Nw,
Canton, OH 44708-1510

Ph: (330) 477-0255

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Internal Medicine Doctors in Canton, OH

Nishad Avinash Barve,
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708
Phone: 330-489-1000    
Todd L Johnson, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718
Phone: 330-489-1386    Fax: 330-489-1258
John C Tsai, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 4466 Fulton Dr Nw, Canton, OH 44718
Phone: 330-489-1386    Fax: 330-489-1258
David Andrew Beard, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 2600 6th St Sw, Canton, OH 44710
Phone: 330-363-2180    
Yara Khouri, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Sixth St Sw, Canton, OH 44710
Phone: 330-363-6235    
Dr. Mitchell Haut, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1455 Harrison Ave Nw, Ste 105, Canton, OH 44708
Phone: 330-453-9993    Fax: 330-453-9996
Ramana Podugu, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 2600 6th St Sw, Suite A2-710, Canton, OH 44710
Phone: 330-454-8076    Fax: 330-454-3927

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