Mary Kathryn Woltjen, CNM CRNP RN is a medicare enrolled "Clinical Nurse Specialist - Women's Health" in Phila, Pennsylvania. Her current practice location is
7604 Central Ave, Suite 101, Phila, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 745-8989.
Mary Kathryn Woltjen is licensed to practice in Pennsylvania (license number MW008564L) 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 1932185576.
Provider's Profile
Full Name | Mary Kathryn Woltjen |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Women's Health |
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Location | 7604 Central Ave, Phila, Pennsylvania |
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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: 1932185576
- Provider Enumeration Date: 12/15/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7810085685
- Enrollment ID: I20150116000633
Medical Identifiers
Medical identifiers for Mary Kathryn Woltjen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932185576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN279256L (Pennsylvania) | Primary |
363L00000X | Nurse Practitioner | TP004106G (Pennsylvania) | Primary |
364SW0102X | Clinical Nurse Specialist - Women's Health | MW008564L (Pennsylvania) | 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. Mary Kathryn Woltjen 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 |
Mary Kathryn Woltjen, CNM CRNP RN 623 Unruh Ave, 2nd Fl, Phila, PA 19111-4709 Ph: (215) 214-1094 | Mary Kathryn Woltjen, CNM CRNP RN 7604 Central Ave, Suite 101, Phila, PA 19111-2433 Ph: (215) 745-8989 |
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