Katie Wesneski Whitworth, DDS is a medicare enrolled "Dentist - General Practice" provider in Brady, Texas. Her current practice location is
1211 S Bridge St, Brady, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 597-0464.
Katie Wesneski Whitworth is licensed to practice in Texas (license number 35515) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003460080.
Healthcare Provider's Profile
Full Name | Katie Wesneski Whitworth |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 1211 S Bridge St, Brady, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003460080
- Provider Enumeration Date: 07/29/2019
- Last Update Date: 10/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284963711
- Enrollment ID: I20190910000222
Medical Identifiers
Medical identifiers for Katie Wesneski Whitworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003460080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 35515 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katie Wesneski Whitworth allows following entities to bill medicare on her behalf.
Entity Name | Frontera Healthcare Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235381088 PECOS PAC ID: 8426142522 Enrollment ID: O20160907002398 |
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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. Katie Wesneski Whitworth is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katie Wesneski Whitworth, DDS 6595 Ranch Road 385, London, TX 76854-5600 Ph: () - | Katie Wesneski Whitworth, DDS 1211 S Bridge St, Brady, TX 76825-6229 Ph: (325) 597-0464 |
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