Kimberly Wetherholt, CRNA in Harbor City, CA - Medicare Nurse Anesthetist, Certified Registered

Kimberly Wetherholt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Harbor City, California. Her current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to her office (for appointments etc.) via phone at (310) 325-5111.

Kimberly Wetherholt is licensed to practice in California (license number NA2413) 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 1376744268.

Contact Information

	Kimberly Wetherholt, CRNA
	25825 Vermont Ave, Harbor City, CA 90710-3518
	(310) 325-5111
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Wetherholt
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	25825 Vermont Ave, Harbor City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376744268
Provider Enumeration Date: 05/30/2007
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 9739121997
Enrollment ID: I20050526001040

Medical Identifiers

Medical identifiers for Kimberly Wetherholt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376744268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA2413 (California)	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. Kimberly Wetherholt allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Access Care Anesthesia Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528726809 PECOS PAC ID: 8820482243 Enrollment ID: O20220301002383

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. Kimberly Wetherholt 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
Kimberly Wetherholt, CRNA 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111	Kimberly Wetherholt, CRNA 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Harbor City, CA

Tina L Holt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Loreto Albaran, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Mr. Scott Mathews, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-2585
Melissa Roupoli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 800-780-1230
Michelle A Navarrette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Angela Burney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Mr. Jon David Beserra Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111

Kimberly Wetherholt, CRNA - Medicare Nurse Anesthetist, Certified Registered in Harbor City, CA