Dr Bryan Wiederholt, DNAP, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Las Vegas, NV

Dr Bryan Wiederholt, DNAP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Las Vegas, Nevada. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Red Rock Anesthesia Consultants Llc, University Medical Center Of Southern Nevada and his current practice location is 1800 W. Charleston Blvd., Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 383-2000.

Dr Bryan Wiederholt is licensed to practice in Nevada (license number 845062) 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 1740953488.

Contact Information

Dr Bryan Wiederholt, DNAP, CRNA
1800 W. Charleston Blvd.,
Las Vegas, NV 89102
(702) 383-2000
(702) 383-3620



Provider's Profile

Full NameDr Bryan Wiederholt
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location1800 W. Charleston Blvd., Las Vegas, Nevada
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:
  • Dr Bryan Wiederholt graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1740953488
  • Provider Enumeration Date: 07/28/2021
  • Last Update Date: 03/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264837871
  • Enrollment ID: I20210819003125

Medical Identifiers

Medical identifiers for Dr Bryan Wiederholt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740953488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 845062 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Medical CenterLas vegas, NVHospital
Centennial Hills Hospital Medical CenterLas vegas, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Red Rock Anesthesia Consultants Llc428491029073
University Medical Center Of Southern Nevada7315934429243

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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. Dr Bryan Wiederholt allows following entities to bill medicare on his behalf.
Entity NameUniversity Medical Center Of Southern Nevada
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548393127
PECOS PAC ID: 7315934429
Enrollment ID: O20040429001053

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Entity NameValley Anesthesiology Consultants-beckett-pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437326857
PECOS PAC ID: 6507925849
Enrollment ID: O20081031000516

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Entity NameRed Rock Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235660002
PECOS PAC ID: 4284910290
Enrollment ID: O20170405001723

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Entity NameAmin Dunckelmeyer And Luu Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093410045
PECOS PAC ID: 4385002682
Enrollment ID: O20230619001249

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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 Bryan Wiederholt 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 Bryan Wiederholt, DNAP, CRNA
1800 W. Charleston Blvd.,
Las Vegas, NV 89102

Ph: (702) 383-2000
Dr Bryan Wiederholt, DNAP, CRNA
1800 W. Charleston Blvd.,
Las Vegas, NV 89102

Ph: (702) 383-2000

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Nurse Anesthetist, Certified Registered Nurses in Las Vegas, NV

Morgan Che' Beeson, RN, MSN, CCRN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9127 W Russell Rd Ste 110, Las Vegas, NV 89148
Phone: 702-878-0070    Fax: 702-209-2064
Gian Fule, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102
Phone: 702-383-2000    Fax: 702-209-2064
Edgar Escobar,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102
Phone: 702-383-2000    
Johnette M Seecof, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2450 W Charleston Blvd, Las Vegas, NV 89102
Phone: 702-877-8661    
Mr. David Thomas Kwiatkowski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6008 Ridgecarn Ave, Las Vegas, NV 89130
Phone: 702-644-2124    
Kristi Vick, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3186 S Maryland Pkwy, Las Vegas, NV 89109
Phone: 702-878-0070    
Mr. Vance Glenn Gainer Jr., CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Las Vegas, NV 89191
Phone: 702-653-3526    

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