Individual ProviderIlse R. WiechersPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address300 George St, Suite 901, New Haven, CT 06511-6624(203) 785-2117PECOS EnrollmentBased on the most recent information from CMS, provider Ilse R. Wiechers does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1396871711Provider TypeIndividualFull NameWiechers, Ilse R.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date2/27/2007Last Updated3/6/2011Contact InformationPractice LocationPractice Address300 George St, Suite 901, New Haven, CT 06511-6624Phone(203) 785-2117FaxUnlisted FaxMailing LocationMailing Address300 George St, Suite 901, New Haven, CT 06511-6624Phone(203) 785-2117FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense048554ConnecticutCode2084P0805XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense048554Connecticut