Dustin Wattenberger, in Louisville, KY - Medicare Nurse Practitioner

Dustin Wattenberger, is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. His current practice location is 9390 Bunsen Pkwy, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (833) 358-2278.

Dustin Wattenberger is licensed to practice in Kentucky (license number 3008537) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003231432.

Contact Information

	Dustin Wattenberger,
	9390 Bunsen Pkwy, Louisville, KY 40220-3789
	(833) 358-2278
	Not Available

Map and Direction

Provider's Profile

Full Name	Dustin Wattenberger
Gender	Male
Speciality	Nurse Practitioner - Family
Location	9390 Bunsen Pkwy, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003231432
Provider Enumeration Date: 02/21/2014
Last Update Date: 08/17/2022

Medicare PECOS Information:

PECOS PAC ID: 0840420857
Enrollment ID: I20140312001711

Medical Identifiers

Medical identifiers for Dustin Wattenberger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003231432	NPI	-	NPPES
7100291580	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3008537 (Kentucky)	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. Dustin Wattenberger allows following entities to bill medicare on his behalf.

Entity Name	Mercy Health Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609151471 PECOS PAC ID: 2466592688 Enrollment ID: O20100624000061

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. Dustin Wattenberger 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
Dustin Wattenberger, Po Box 636493, Cincinnati, OH 45263-6493 Ph: (513) 981-5130	Dustin Wattenberger, 9390 Bunsen Pkwy, Louisville, KY 40220-3789 Ph: (833) 358-2278

Reviews and Comments

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Dustin Wattenberger, - Medicare Nurse Practitioner in Louisville, KY