Katherine Lyn Dorwaldt, in Freeport, IL - Medicare Nurse Practitioner

Katherine Lyn Dorwaldt, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Freeport, Illinois. Her current practice location is 133 N Sunset Ave, Freeport, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 347-0884.

Katherine Lyn Dorwaldt is licensed to practice in Illinois (license number 209.026811) 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 1386100295.

Contact Information

	Katherine Lyn Dorwaldt,
	133 N Sunset Ave, Freeport, IL 61032-3752
	(815) 347-0884
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Lyn Dorwaldt
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	133 N Sunset Ave, Freeport, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386100295
Provider Enumeration Date: 02/15/2019
Last Update Date: 03/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4284097049
Enrollment ID: I20230825002309

Medical Identifiers

Medical identifiers for Katherine Lyn Dorwaldt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386100295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041467898 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209.026811 (Illinois)	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. Katherine Lyn Dorwaldt allows following entities to bill medicare on her behalf.

Entity Name	Rockford Psychiatric Medical Services Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821391442 PECOS PAC ID: 6901089515 Enrollment ID: O20110318000777

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. Katherine Lyn Dorwaldt 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
Katherine Lyn Dorwaldt, 1021 N Mulford Rd, Rockford, IL 61107-3877 Ph: () -	Katherine Lyn Dorwaldt, 133 N Sunset Ave, Freeport, IL 61032-3752 Ph: (815) 347-0884

Reviews and Comments

Nurse Practitioner Nurses in Freeport, IL

Shannon Kaye Lizer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-4881
Danielle E Siedschlag, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N Harlem Ave, Freeport, IL 61032 Phone: 815-599-7750
Tamisha Bonvillain, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-6000
Lynda A Shiro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7740 Fax: 815-599-7983
Mrs. Susan Marie Tuell, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 667 W Fairview Rd, Freeport, IL 61032 Phone: 815-233-5734 Fax: 815-233-5754
Judy Cullor, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Fairway Dr, Freeport, IL 61032 Phone: 815-599-7730
Mrs. Michelle Leigh Volling, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 S. Kiwanis Dr, Freeport, IL 61032 Phone: 815-235-4881 Fax: 815-232-4614

Katherine Lyn Dorwaldt, - Medicare Nurse Practitioner in Freeport, IL