Nicolas A Wieder, DO - Medicare Pain Management in Kennesaw, GA

Nicolas A Wieder, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Kennesaw, Georgia. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Neuroversion and his current practice location is 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (818) 375-2000.

Nicolas A Wieder is licensed to practice in Georgia (license number 075400) 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 1467500322.

Contact Information

Nicolas A Wieder, DO
750 Townpark Lane, Kaiser Permanente Townpark Medical Center,
Kennesaw, GA 30144
(818) 375-2000
Not Available



Physician's Profile

Full NameNicolas A Wieder
GenderMale
SpecialityPain Management
Experience37 Years
Location750 Townpark Lane, Kennesaw, Georgia
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:
  • Nicolas A Wieder graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1467500322
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 12/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6305993551
  • Enrollment ID: I20220609002949

Medical Identifiers

Medical identifiers for Nicolas A Wieder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467500322NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0000XPain Medicine - Pain Medicine 20A5558 (California)Secondary
208VP0000XPain Medicine - Pain Medicine 075400 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Neuroversion70122970629

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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. Nicolas A Wieder allows following entities to bill medicare on his behalf.
Entity NameNeuroversion
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487102208
PECOS PAC ID: 7012297062
Enrollment ID: O20161208000642

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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. Nicolas A Wieder 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
Nicolas A Wieder, DO
3495 Piedmont Road, Ne, Nine Piedmont Center,
Atlanta, GA 30305

Ph: (404) 504-5678
Nicolas A Wieder, DO
750 Townpark Lane, Kaiser Permanente Townpark Medical Center,
Kennesaw, GA 30144

Ph: (818) 375-2000

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Pain Medicine Doctors in Kennesaw, GA


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