Keri S H Wardwell, MD in Harbor City, CA - Medicare Family Practice

Keri S H Wardwell, MD is a medicare enrolled "Family Medicine" physician in Harbor City, California. She went to University Of California, Davis School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Medical Institute and her current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to her office (for appointments etc.) via phone at (310) 517-4083.

Keri S H Wardwell is licensed to practice in California (license number A106345) 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 1104017573.

Contact Information

	Keri S H Wardwell, MD
	25825 Vermont Ave, Harbor City, CA 90710-3518
	(310) 517-4083
	Not Available

Map and Direction

Physician's Profile

Full Name	Keri S H Wardwell
Gender	Female
Speciality	Family Practice
Experience	17 Years
Location	25825 Vermont Ave, Harbor City, 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:

Keri S H Wardwell attended and graduated from University Of California, Davis School Of Medicine in 2007

NPI Data:

NPI Number: 1104017573
Provider Enumeration Date: 08/09/2007
Last Update Date: 04/20/2021

Medicare PECOS Information:

PECOS PAC ID: 5890950331
Enrollment ID: I20120706000250

Medical Identifiers

Medical identifiers for Keri S H Wardwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104017573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A106345 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Little Company Of Mary Med Ctr Torrance	Torrance, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Institute	5991609737	293

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. Keri S H Wardwell allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910

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. Keri S H Wardwell 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
Keri S H Wardwell, MD 1499 W 1st St, San Pedro, CA 90732-3255 Ph: (310) 831-9482	Keri S H Wardwell, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 517-4083

Reviews and Comments

Family Medicine Doctors in Harbor City, CA

Lynnea Wilson Morm, Family Medicine Medicare: Medicare Enrolled Practice Location: 1403 Lomita Blvd Ste 102, Harbor City, CA 90710 Phone: 310-534-7600
Dr. Charles Bui, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-4027
Christine Nguyen Dao, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Department Of Family Medicine, Harbor City, CA 90710 Phone: 310-325-5111
Natalie Ting, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Dr. Elvina L Torres-campos, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd Ste 102, Harbor City, CA 90710 Phone: 310-534-7600
Lisa M. Young, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Vanessa Gavin-headen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111

Keri S H Wardwell, MD - Medicare Family Practice in Harbor City, CA