Dr Kati Wijdenes, DNP in Mesa, AZ - Medicare Nurse Practitioner

Dr Kati Wijdenes, DNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. Her current practice location is 2747 E University Dr Unit 31505, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 418-0184.

Dr Kati Wijdenes is licensed to practice in Arizona (license number AP8449) 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 1295181071.

Contact Information

	Dr Kati Wijdenes, DNP
	2747 E University Dr Unit 31505, Mesa, AZ 85275-0270
	(480) 418-0184
	(480) 602-5656

Map and Direction

Provider's Profile

Full Name	Dr Kati Wijdenes
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2747 E University Dr Unit 31505, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295181071
Provider Enumeration Date: 05/10/2016
Last Update Date: 01/30/2025

Medicare PECOS Information:

PECOS PAC ID: 4486006251
Enrollment ID: I20240117001835

Medical Identifiers

Medical identifiers for Dr Kati Wijdenes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295181071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	G175516 (Iowa)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP8449 (Arizona)	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. Dr Kati Wijdenes allows following entities to bill medicare on her behalf.

Entity Name	Genesis Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528616901 PECOS PAC ID: 6103829338 Enrollment ID: O20191031002622

Entity Name	Sbh-davenport, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831720556 PECOS PAC ID: 1759702756 Enrollment ID: O20210107001935

Entity Name	Medpsych Inc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962828137 PECOS PAC ID: 2264655877 Enrollment ID: O20240516003103

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 Kati Wijdenes 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 Kati Wijdenes, DNP 2747 E University Dr Unit 31505, Mesa, AZ 85275-0270 Ph: () -	Dr Kati Wijdenes, DNP 2747 E University Dr Unit 31505, Mesa, AZ 85275-0270 Ph: (480) 418-0184

Reviews and Comments

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Dr Kati Wijdenes, DNP - Medicare Nurse Practitioner in Mesa, AZ