Dr Kirsten Elizabeth Mewaldt, MD in Marina Del Rey, CA

Dr Kirsten Elizabeth Mewaldt, MD is a medicare enrolled "Emergency Medicine" physician in Marina Del Rey, California. She graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Ridgeline Emergency Physicians Medical Group, Inc. and her current practice location is 4650 Lincoln Blvd, Unit #1604, Marina Del Rey, California. You can reach out to her office (for appointments etc.) via phone at (626) 354-4874.

Dr Kirsten Elizabeth Mewaldt is licensed to practice in California (license number A103717) 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 1659403228.

Contact Information

	Dr Kirsten Elizabeth Mewaldt, MD
	4650 Lincoln Blvd, Unit #1604, Marina Del Rey, CA 90292-6306
	(626) 354-4874
	(650) 723-0121

Map and Direction

Physician's Profile

Full Name	Dr Kirsten Elizabeth Mewaldt
Gender	Female
Speciality	Emergency Medicine
Experience	19 Years
Location	4650 Lincoln Blvd, Marina Del Rey, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kirsten Elizabeth Mewaldt graduated from medical school in 2006

NPI Data:

NPI Number: 1659403228
Provider Enumeration Date: 03/09/2007
Last Update Date: 10/19/2016

Medicare PECOS Information:

PECOS PAC ID: 3375689094
Enrollment ID: I20091012000217

Medical Identifiers

Medical identifiers for Dr Kirsten Elizabeth Mewaldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659403228	NPI	-	NPPES
0A1037170	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A103717 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northridge Hospital Medical Center	Northridge, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ridgeline Emergency Physicians Medical Group, Inc.	0345521613	14

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 Kirsten Elizabeth Mewaldt allows following entities to bill medicare on her behalf.

Entity Name	Golden State Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770886558 PECOS PAC ID: 4981885951 Enrollment ID: O20110223001018

Entity Name	Petrel Emergency Physicians, A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154734663 PECOS PAC ID: 2264658525 Enrollment ID: O20140722000913

Entity Name	Ridgeline Emergency Physicians Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972953230 PECOS PAC ID: 0345521613 Enrollment ID: O20161228000227

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 Kirsten Elizabeth Mewaldt 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
Dr Kirsten Elizabeth Mewaldt, MD 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 Ph: (310) 448-5200	Dr Kirsten Elizabeth Mewaldt, MD 4650 Lincoln Blvd, Unit #1604, Marina Del Rey, CA 90292-6306 Ph: (626) 354-4874

Reviews and Comments

Emergency Medicine Doctors in Marina Del Rey, CA

Dr. Edward J. Chung, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way, 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379
Barry J Borm, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911
Dr. Timothy C Bullard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 108-273-7003
Paula Gonella, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-8911
Dr. Niloufar Naima, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Tahiti Way Apt 201, Marina Del Rey, CA 90292 Phone: 925-497-2366
Ryan Yavorsky, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379

Dr Kirsten Elizabeth Mewaldt, MD - Medicare Emergency Medicine in Marina Del Rey, CA