Dr Kimberly Janne Wonderlich, MD is a medicare enrolled "Dermatology" physician in Fairbanks, Alaska. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Dermatology. Her current practice location is
2775 College Road, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 456-1979.
Dr Kimberly Janne Wonderlich is licensed to practice in Alaska (license number 8102) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346211505.
Physician's Profile
| Full Name | Dr Kimberly Janne Wonderlich |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 20 Years |
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| Location | 2775 College Road, Fairbanks, Alaska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kimberly Janne Wonderlich graduated from medical school in 2004
NPI Data:
- NPI Number: 1346211505
- Provider Enumeration Date: 01/27/2006
- Last Update Date: 09/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 9830406289
- Enrollment ID: I20150916003260
Medical Identifiers
Medical identifiers for Dr Kimberly Janne Wonderlich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346211505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 23558 (Nebraska) | Secondary |
| 207N00000X | Dermatology | 8102 (Alaska) | Primary |
Medical Facilities Affiliation
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. Dr Kimberly Janne Wonderlich allows following entities to bill medicare on her behalf.
| Entity Name | Kimberly J Wonderlich Md Faad Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396124897
PECOS PAC ID: 2365759727
Enrollment ID: O20150916003404 |
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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. Dr Kimberly Janne Wonderlich 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 |
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Dr Kimberly Janne Wonderlich, MD
2775 College Road,
Fairbanks, AK 99709
Ph: (907) 456-1979 | Dr Kimberly Janne Wonderlich, MD
2775 College Road,
Fairbanks, AK 99709
Ph: (907) 456-1979 |
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