Amy Wiederhold, is a
Student In An Organized Health Care Education/training Program based in Rocklin, California. Amy Wiederhold is licensed to practice in California (license number ) and her current practice location is
3175 Sunset Blvd, Rocklin, California. She can be reached at her office (for appointments etc.) via phone at
(916) 645-3300.
NPI number for Amy Wiederhold is 1124839410 and her current mailing address is 3175 Sunset Blvd, Rocklin, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124839410.
Healthcare Provider's Profile
| Full Name | Amy Wiederhold |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3175 Sunset Blvd, Rocklin, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124839410
- Provider Enumeration Date: 01/15/2025
- Last Update Date: 01/27/2025
Medical Identifiers
Medical identifiers for Amy Wiederhold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124839410 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Wiederhold is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amy Wiederhold,
3175 Sunset Blvd,
Rocklin, CA 95677-3091
Ph: (916) 645-3300 | Amy Wiederhold,
3175 Sunset Blvd,
Rocklin, CA 95677-3091
Ph: (916) 645-3300 |
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