Organization provider

WIEGANDT AND ASSOCIATES PC

Exclusive Provider Organization Specialist Medicare enrolled

WIEGANDT AND ASSOCIATES PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1306133475, based in Wareham, MA. The organization lists 2 taxonomy classifications, with Exclusive Provider Organization recorded as primary.

Getting there

The practice address on file is 2621 CRANBERRY HWY, Wareham, MA 02571. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2621 CRANBERRY HWY, Wareham, MA 02571 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
57120 MA Exclusive Provider Organization primary
57120 MA Specialist

This provider holds licence 57120 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
3375777931

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Exclusive Provider Organization covers

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. NUCC Health Care Provider Taxonomy, code 302F00000X
Managed Care Organizations Exclusive Provider Organization

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
302F00000X Exclusive Provider Organization 57120 MA primary
174400000X Specialist 57120 MA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1306133475 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 8, 2011
Last updatedDec 8, 2023
StatusActive
Practice address 2621 CRANBERRY HWY
Wareham, MA 02571
(508) 295-4902
Fax (508) 295-2455
Other identifiers 1285692525 (MA)
This record was updated on Dec 8, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1306133475 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 0 6 1 3 3 4 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 0 6 2 3 6 4 5

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1306133475?
NPI 1306133475 is the National Provider Identifier assigned to WIEGANDT AND ASSOCIATES PC in Wareham, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Exclusive Provider Organization cover?
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO…
How do I contact WIEGANDT AND ASSOCIATES PC?
The phone number on file with NPPES is (508) 295-4902, last updated Dec 8, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does WIEGANDT AND ASSOCIATES PC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1306133475 a valid number?
Yes. 1306133475 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.