Active NPI
Amy Gleason Wiegandt, MD
- Internal Medicine Physician
- Wareham, MA
National Provider Identifier
1285692525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57120
- Practice address
- 2621 Cranberry Highway
Wareham, MA 02571 - Phone
- (508) 295-4902
- Fax
- (508) 295-2455
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57120 | MA | Primary |
Addresses
Primary practice location
2621 Cranberry Highway
Wareham, MA 02571
Mailing address
2621 Cranberry Highway
Wareham, MA 02571
Phone (508) 295-4902
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 754275 | Other | MA | TUFTS HLTH PLAN |
| 61516 | Other | MA | HARVARD PILGRAM |
| 110206873 | Other | MA | MEDICARE RAILROAD |
| 3032736 | Medicaid | MA |
Other names 1
- Amy Louise Gleason
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tufts University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2621 Cranberry Hwy
Wareham, MA 02571-1156
Phone (508) 295-4902
3119 Cranberry Hwy
Suite 5
East Wareham, MA 02538-4840
Phone (508) 759-5411
Hospital & facility affiliations
- Community Nurse Home Care
- Southcoast Visiting Nurse Association Inc
- Bayada Home Health Care Inc
- Hospice and Palliative Care
- Community Nurse Home Care, Inc
- Southcoast Hospitals Group
- Brigham and Women'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- amy.wiegandt@wap.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Exclusive Provider Organization
- Wareham, MA
- NPI 1306133475
-
- Rehabilitation Clinic/Center
- East Harwich, MA
- NPI 1629165634
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Plymouth, MA
- NPI 1366481293
-
- Home Health Agency
- South Easton, MA
- NPI 1811257694
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
-
- Home Health Agency
- Fairhaven, MA
- NPI 1568424927
-
- Community Based Hospice Care Agency
- Fairhaven, MA
- NPI 1518054451
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- Community Based Hospice Care Agency
- Fairhaven, MA
- NPI 1801990452
-
- Home Health Agency
- Fairhaven, MA
- NPI 1104937697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1285692525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 CRANBERRY HIGHWAY",
"city": "WAREHAM",
"state": "MA",
"postal_code": "02571",
"telephone_number": "508-295-4902",
"fax_number": "508-295-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 CRANBERRY HIGHWAY",
"city": "WAREHAM",
"state": "MA",
"postal_code": "02571",
"telephone_number": "508-295-4902",
"fax_number": "508-295-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEGANDT",
"first_name": "AMY",
"middle_name": "GLEASON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "57120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HLTH PLAN",
"identifier": "754275",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRAM",
"identifier": "61516",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110206873",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3032736",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "GLEASON",
"middle_name": "LOUISE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.