Katherine Marie Wickstrom, CNP in Oakdale, MN

Katherine Marie Wickstrom, CNP is a medicare enrolled "Nurse Practitioner - Family" in Oakdale, Minnesota. Her current practice location is 1099 Helmo Ave N Ste 100, Oakdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 326-5300.

Katherine Marie Wickstrom is licensed to practice in Minnesota (license number F06242189) 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 1629813704.

Contact Information

	Katherine Marie Wickstrom, CNP
	1099 Helmo Ave N Ste 100, Oakdale, MN 55128-6034
	(651) 326-5300
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Marie Wickstrom
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1099 Helmo Ave N Ste 100, Oakdale, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629813704
Provider Enumeration Date: 06/28/2024
Last Update Date: 06/28/2024

Medicare PECOS Information:

PECOS PAC ID: 3678010568
Enrollment ID: I20240809000979

Medical Identifiers

Medical identifiers for Katherine Marie Wickstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629813704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F06242189 (Minnesota)	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 Marie Wickstrom allows following entities to bill medicare on her behalf.

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

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 Marie Wickstrom 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 Marie Wickstrom, CNP 2828 Highway 88, St Anthony, MN 55418-3243 Ph: (605) 254-3402	Katherine Marie Wickstrom, CNP 1099 Helmo Ave N Ste 100, Oakdale, MN 55128-6034 Ph: (651) 326-5300

Reviews and Comments

Nurse Practitioner Nurses in Oakdale, MN

Maria Kathleen Horne, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1099 Helmo Ave N Ste 100, Oakdale, MN 55128 Phone: 651-326-5300
Sarah Mary-payne Oswald, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7200 Hudson Blvd N Ste 200, Oakdale, MN 55128 Phone: 651-735-3656
John Harrison, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 625 Hayward Ave N, Oakdale, MN 55128 Phone: 651-410-7955
Casandera Kay Wiek, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7180 10th St N, Oakdale, MN 55128 Phone: 651-242-5890 Fax: 651-731-6207
Jessica Leigh Starfield Koran, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7400 33rd St N, Ste 100, Oakdale, MN 55128 Phone: 651-241-9240 Fax: 651-241-9241
Katie M Szymanski, DNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7400 33rd St N Ste 100, Oakdale, MN 55128 Phone: 651-241-9240
Ngozi Miriam Ohaegbulem, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 Hayward Ave N, Oakdale, MN 55128 Phone: 952-234-0943

Katherine Marie Wickstrom, CNP - Medicare Nurse Practitioner in Oakdale, MN