Kathleen Anne Wirtz, ARNP is a medicare enrolled "Advanced Practice Midwife" in Longview, Washington. Her current practice location is
1655 Hudson St Ste 1, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 749-0010.
Kathleen Anne Wirtz is licensed to practice in Washington (license number AP60172230) 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 1801100201.
Provider's Profile
Full Name | Kathleen Anne Wirtz |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 1655 Hudson St Ste 1, Longview, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801100201
- Provider Enumeration Date: 07/28/2010
- Last Update Date: 04/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 4981891850
- Enrollment ID: I20180509001124
Medical Identifiers
Medical identifiers for Kathleen Anne Wirtz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801100201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LW0102X | Nurse Practitioner - Women's Health | AP60184972 (Washington) | Secondary |
367A00000X | Advanced Practice Midwife | AP60172230 (Washington) | Primary |
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. Kathleen Anne Wirtz 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 |
Kathleen Anne Wirtz, ARNP Po Box 48, Carrolls, WA 98609-0048 Ph: (360) 749-0010 | Kathleen Anne Wirtz, ARNP 1655 Hudson St Ste 1, Longview, WA 98632-2949 Ph: (360) 749-0010 |
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