MS. ELEANOR RACHAEL WIEDEMAN PA-C
NPI 1053067181
Physician Assistant - Medical in Southfield, MI

NPI Status: Active since February 28, 2022

Contact Information

26025 LAHSER RD FL 2
SOUTHFIELD, MI
ZIP 48033
Phone: (248) 663-1900
Fax: (844) 598-9633

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  • Individual
  • Female
  • Years of Experience 4
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ELEANOR WIEDEMAN

This page provides the complete NPI Profile along with additional information for Eleanor Wiedeman, a primary care provider established in Southfield, Michigan with a medical specialization in Physician Assistant, focusing in medical and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1053067181 assigned on February 2022. The practitioner's primary taxonomy code is 363AM0700X with license number 5601011030TMP22 (MI). The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1053067181
Provider Name
MS. ELEANOR RACHAEL WIEDEMAN PA-C
Other Name
MS. ELLIE WIEDEMAN PA-C
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
26025 LAHSER RD FL 2 SOUTHFIELD, MI 48033
Location Phone
(248) 663-1900
Location Fax
(844) 598-9633
Mailing Address
26211 CENTRAL PARK BLVD STE 201 SOUTHFIELD, MI 48076
Mailing Phone
(833) 667-3627
Mailing Fax
(844) 598-9633
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
02-28-2022
Last Update Date
04-22-2026
Code Navigator

A primary care provider (PCP) like Eleanor Wiedeman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 45816 Schoenherr Rd
    Shelby Twp, MI 48315
    (586) 842-2400
  • 30575 Woodward Ave
    Royal Oak, MI 48073
    (248) 280-8550
  • 26750 Providence Pkwy Ste 220
    Novi, MI 48374
    (248) 596-0412
  • 24255 W 13 Mile Rd Ste 100
    Bingham Farms, MI 48025
    (248) 988-8085
  • 4967 Crooks Rd Ste 100
    Troy, MI 48098
    (248) 846-8060
  • 33200 W 14 Mile Rd Ste 220
    West Bloomfield, MI 48322
    (248) 855-7400
  • 17877 W 14 Mile Rd
    Beverly Hills, MI 48025
    (248) 644-3920
  • 1350 Kirts Blvd Ste 160
    Troy, MI 48084
    (248) 244-9426

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601011030TMP22
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Southeast Michigan Network - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Southeast Michigan Network - HMO
  • MyPriority Standard Silver - HMO
  • UHC Bronze Copay Focus (No Referrals) - HMO
  • UHC Bronze Essential (No Referrals) - HMO
  • UHC Bronze Essential+ (Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Gold Advantage (No Referrals) - HMO
  • UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus (No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage (No Referrals) - HMO
  • UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Eleanor Wiedeman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Eleanor Wiedeman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8628457967

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220616002711

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 21 times for 21 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 96 times for 93 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 128 times for 16 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 26 times for 26 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 55 times for 52 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 57 times for 54 patients

Revision of thigh and lower leg bone components of total knee joint prosthesis

This procedure involves replacing parts of your knee joint prosthesis that have worn out or become damaged. Specifically, components in your thigh and lower leg bones are revised to improve joint function and alleviate discomfort.

This service was performed 16 times for 15 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 14 times for 13 patients

X-ray of hip, 1 view

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

This service was performed 31 times for 31 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 64 times for 58 patients

X-ray of pelvis, 1-2 views

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

This service was performed 16 times for 14 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Eleanor Wiedeman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TRINITY HEALTH OAKLAND HOSPITAL44405 WOODWARD AVE
PONTIAC, MI 48341
(248) 858-3000Acute Care Hospitals
BEAUMONT HOSPITAL ROYAL OAK3601 W THIRTEEN MILE RD
ROYAL OAK, MI 48073
(248) 898-5000Acute Care Hospitals
BEAUMONT HOSPITAL - FARMINGTON HILLS28050 GRAND RIVER AVENUE
FARMINGTON HILLS, MI 48336
(248) 471-8000Acute Care Hospitals
COREWELL HEALTH TRENTON HOSPITAL5450 FORT STREET
TRENTON, MI 48183
(734) 671-3800Acute Care Hospitals
BEAUMONT HOSPITAL, TROY44201 DEQUINDRE ROAD
TROY, MI 48085
(248) 964-8800Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053067181, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 0 → 0 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 0 + 6 + 1 + 4 + 1 + 1 + 6 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1053067181.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Pharmacist
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery (Hand Surgery)
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Physician Assistant
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery (Hand Surgery)
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Physician Assistant
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Registered Nurse (General Practice)
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Physician Assistant
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053067181, enumerated as an "individual" on February 28, 2022.

The provider is located at 26025 LAHSER RD FL 2 SOUTHFIELD, MI 48033 and the phone number is (248) 663-1900.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Eleanor Wiedeman is affiliated with: TRINITY HEALTH OAKLAND HOSPITAL, BEAUMONT HOSPITAL ROYAL OAK, BEAUMONT HOSPITAL - FARMINGTON HILLS, COREWELL HEALTH TRENTON HOSPITAL and BEAUMONT HOSPITAL, TROY.