Kanani Wasilk-kindred, PMHNP-BC in Chandler, AZ

Kanani Wasilk-kindred, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chandler, Arizona. Her current practice location is 875 W Pecos Rd Apt 2113, Chandler, Arizona. You can reach out to her office (for appointments etc.) via phone at (503) 545-7917.

Kanani Wasilk-kindred is licensed to practice in Arizona (license number 237594) 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 1255105193.

Contact Information

	Kanani Wasilk-kindred, PMHNP-BC
	875 W Pecos Rd Apt 2113, Chandler, AZ 85225-7613
	(503) 545-7917
	Not Available

Map and Direction

Provider's Profile

Full Name	Kanani Wasilk-kindred
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	875 W Pecos Rd Apt 2113, Chandler, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255105193
Provider Enumeration Date: 11/10/2023
Last Update Date: 11/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7416399464
Enrollment ID: I20240522003611

Medical Identifiers

Medical identifiers for Kanani Wasilk-kindred such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255105193	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	237594 (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. Kanani Wasilk-kindred allows following entities to bill medicare on her behalf.

Entity Name	Jjm Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033711312 PECOS PAC ID: 8921419151 Enrollment ID: O20201119001582

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. Kanani Wasilk-kindred 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
Kanani Wasilk-kindred, PMHNP-BC 875 W Pecos Rd Apt 2113, Chandler, AZ 85225-7613 Ph: () -	Kanani Wasilk-kindred, PMHNP-BC 875 W Pecos Rd Apt 2113, Chandler, AZ 85225-7613 Ph: (503) 545-7917

Reviews and Comments

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Kanani Wasilk-kindred, PMHNP-BC - Medicare Nurse Practitioner in Chandler, AZ