MS. MARY JO P WIEMILLER PA
NPI 1689628703
Physician Assistant - Surgical in Milwaukee, WI

NPI Status: Active since May 22, 2006

Contact Information

945 N 12TH ST
MILWAUKEE, WI
ZIP 53233
Phone: (414) 219-7880

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  • Individual
  • Female
  • Years of Experience 23
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARY JO WIEMILLER

This page provides the complete NPI Profile along with additional information for Mary Jo Wiemiller, a provider established in Milwaukee, Wisconsin with a medical specialization in Physician Assistant, focusing in surgical and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1689628703 assigned on May 2006. The practitioner's primary taxonomy code is 363AS0400X with license number 1621 (WI). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1689628703
Provider Name
MS. MARY JO P WIEMILLER PA
Other Name
MS. MARY JO MATZKE PA
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
945 N 12TH ST MILWAUKEE, WI 53233
Location Phone
(414) 219-7880
Mailing Address
945 N 12TH ST MILWAUKEE, WI 53233
Mailing Phone
(414) 219-7880
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
No
Enumeration Date
05-22-2006
Last Update Date
12-29-2021
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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 Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1621
License State
WI

Insurance Plans Accepted

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

  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
41975200MEDICAID (05)WI 
006806261BOTHER (01)HUMANA

Medicare Participation & PECOS Enrollment Status

Mary Jo Wiemiller 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.

Mary Jo Wiemiller 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: 2567481195

    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: I20051114000401

    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

Reviews for MS. MARY JO P WIEMILLER PA

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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 1689628703, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
3
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 8 → 16 → 7 6 → 12 → 3 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 2 + 2 + 1 + 6 + 7 + 0 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1689628703.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
945 N 12TH ST, EMERGENCY MEDICINE
MILWAUKEE, WI 53233
Physician Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST, EMERGENCY MED
MILWAUKEE, WI 53233
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Emergency Medicine
945 N 12TH ST, EMERGENCY MED
MILWAUKEE, WI 53233
Anesthesiology
945 N 12TH ST, SUITE 3858
MILWAUKEE, WI 53233
Anesthesiology
945 N 12TH ST, SUITE 3858
MILWAUKEE, WI 53233
General Acute Care Hospital
945 N 12TH ST
MILWAUKEE, WI 53233
Anesthesiology
945 N 12TH ST, SUITE 3858
MILWAUKEE, WI 53233
Radiology (Diagnostic Radiology)
945 N 12TH ST, RADIOLOGY
MILWAUKEE, WI 53233
Radiology (Diagnostic Radiology)
945 N 12TH ST, RADIOLOGY
MILWAUKEE, WI 53233
Physician Assistant (Medical)
945 N 12TH ST, SUITE 4602
MILWAUKEE, WI 53233
Emergency Medicine
945 N 12TH ST, EMERGENCY MEDICINE
MILWAUKEE, WI 53233
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Anesthetist, Certified Registered
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Dietitian, Registered
945 N 12TH ST, A320
MILWAUKEE, WI 53233
Dietitian, Registered
945 N 12TH ST, A320
MILWAUKEE, WI 53233
Dietitian, Registered
945 N 12TH ST
MILWAUKEE, WI 53233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689628703, enumerated as an "individual" on May 22, 2006.

The provider is located at 945 N 12TH ST MILWAUKEE, WI 53233 and the phone number is (414) 219-7880.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare), Medicare,. Please consult your insurance carrier or call the provider to verify.