Richard L Wiesemann
FIVE VALLEYS UROLOGY


Address: 2875 Tina Rd, Suite 101, Missoula, MT 59808
Phone: 40672833665651

Richard L Wiesemann (NPI# 1629220488, PAC ID# 1850430810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1629220488
PAC ID by PECOS 1850430810
Professional Enrollment ID I20091209000159
Full Name Richard L Wiesemann
Organization Legal Name FIVE VALLEYS UROLOGY
Address 2875 Tina Rd
Suite 101
Missoula
MT 59808
Phone Number 40672833665651
Gender M
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 3870497571
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
270014 ST. PATRICK HOSPITAL
270023 COMMUNITY MEDICAL CENTER
271340 MARCUS DALY MEMORIAL HOSPITAL - CAH
271323 CLARK FORK VALLEY HOSPITAL
271343 PROVIDENCE ST JOSEPH MEDICAL CENTER

Other Locations

Address Phone Organization
2875 Tina Rd, Suite 101, Missoula, MT 59808 40672833665651 FIVE VALLEYS UROLOGY

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_048_overall Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 100%
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 65%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 87%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95%

Organization Information

Organization Legal Name FIVE VALLEYS UROLOGY
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Jeffrey Devin Redshaw Urology Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808
Karl Roy Westenfelder Urology Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808
Kevin M Kronner Urology Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808
Whitney C Martin Physician Assistant Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808
Christopher George Wicher Urology Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808
Garrick Richard Simmons Urology Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808

Office Location

Street Address 2875 TINA RD
SUITE 101
City MISSOULA
State MT
Zip 59808

Physicians in the same location

Name Specialty Organization Address
Jeffrey Devin Redshaw Urology Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808
Karl Roy Westenfelder Urology Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808
Kevin M Kronner Urology Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808
Whitney C Martin Physician Assistant Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808
Christopher George Wicher Urology Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808
Garrick Richard Simmons Urology Five Valleys Urology 2875 Tina Rd, Suite 101, Missoula, MT 59808

Physicians in the same zip code

Name Specialty Organization Address
David I Croteau Family Medicine Rchp Billings - Missoula LLC 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364
Karin M Johns Physician Assistant Rchp Billings - Missoula LLC 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364
Kelly Marie Gregory Nurse Practitioner Rchp Billings - Missoula LLC 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364
Don J Benton Nurse Practitioner Rchp Billings - Missoula LLC 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364
Kelly Foster Nurse Practitioner Rchp Billings - Missoula LLC 2230 N Reserve St, Missoula, MT 59808-1364
Carlyn A Doyle Nurse Practitioner Rchp Billings - Missoula LLC 2230 N Reserve St, Missoula, MT 59808-1364
John M Smith Rheumatology Rchp Billings - Missoula LLC 2230 N Reserve St, Missoula, MT 59808-1364
Michelle Bailey Physician Assistant Rchp Billings - Missoula LLC 2230 N Reserve St, Missoula, MT 59808-1364
Mark Alan Dunifer Physical Therapy 3620 American Way, Advantage Therapy, Missoula, MT 59808-1379
Ursula Encell Holloway Clinical Social Worker Providence Health and Services Mt 3075 N Reserve St Q, Grant Creek Primary Care, Missoula, MT 59808-1390
Find all physicians in zip 59808

Competitor

Search similar physicians

City MISSOULA
Zip Code 59808
Specialty PHYSICIAN ASSISTANT
City + Specialty MISSOULA + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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