Kathleen Ann Widmer, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Minneapolis, Minnesota. Her current practice location is
10000 Zane Ave N, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 528-6999.
Kathleen Ann Widmer is licensed to practice in Minnesota (license number 10724) 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 1366227910.
Physician's Profile
Full Name | Kathleen Ann Widmer |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 10000 Zane Ave N, Minneapolis, Minnesota |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366227910
- Provider Enumeration Date: 08/30/2023
- Last Update Date: 11/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446600704
- Enrollment ID: I20231228001999
Medical Identifiers
Medical identifiers for Kathleen Ann Widmer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366227910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 10724 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | 10724 (Minnesota) | 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. Kathleen Ann Widmer allows following entities to bill medicare on her behalf.
Entity Name | Fairview Health Services |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
---|
Entity Name | Fairview Clinics |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
---|
Entity Name | Fairview Express Care |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
---|
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. Kathleen Ann Widmer 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 |
Kathleen Ann Widmer, APRN, CNP 2937 29th Ave S, Minneapolis, MN 55406-1524 Ph: (715) 559-6788 | Kathleen Ann Widmer, APRN, CNP 10000 Zane Ave N, Minneapolis, MN 55443-1400 Ph: (763) 528-6999 |
Reviews and Comments