Mr Kenneth T Wallenfelsz, ARNP - Medicare Nurse Practitioner in Ketchikan, AK

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Mr Kenneth T Wallenfelsz, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Ketchikan, Alaska. His current practice location is 3528 Tongass Ave, Ketchikan, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 220-4447.

Mr Kenneth T Wallenfelsz is licensed to practice in Alaska (license number NURU1255) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457649998.

Contact Information

Mr Kenneth T Wallenfelsz, ARNP
3528 Tongass Ave,
Ketchikan, AK 99901-5635
(907) 220-4447
Not Available

Map and Direction




Provider's Profile

Full NameMr Kenneth T Wallenfelsz
GenderMale
SpecialityNurse Practitioner - Family
Location3528 Tongass Ave, Ketchikan, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457649998
  • Provider Enumeration Date: 07/19/2011
  • Last Update Date: 12/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749433506
  • Enrollment ID: I20130104000244

Medical Identifiers

Medical identifiers for Mr Kenneth T Wallenfelsz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457649998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP60207225 (Washington)Secondary
363LF0000XNurse Practitioner - Family AP60207225 (Washington)Secondary
363LF0000XNurse Practitioner - Family 201500491NP-PP (Oregon)Secondary
363LF0000XNurse Practitioner - Family NURU1255 (Alaska)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. Mr Kenneth T Wallenfelsz allows following entities to bill medicare on his behalf.
Entity NameJefferson County Public Hospital District No 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356492953
PECOS PAC ID: 4789593708
Enrollment ID: O20031111000542
Entity NameSound Physicians Emergency Medicine Of Washington Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629532064
PECOS PAC ID: 7315279007
Enrollment ID: O20191030000855

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. Mr Kenneth T Wallenfelsz 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 AddressPractice Location Address
Mr Kenneth T Wallenfelsz, ARNP
3528 Tongass Ave,
Ketchikan, AK 99901-5635

Ph: (907) 220-4447		Mr Kenneth T Wallenfelsz, ARNP
3528 Tongass Ave,
Ketchikan, AK 99901-5635

Ph: (907) 220-4447

Reviews and Comments


Nurse Practitioner Nurses in Ketchikan, AK

Miss Gabriella Madsen, MSN, RN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901
Phone: 907-228-8300    Fax: 907-228-8440
Jessica Rae Pilcher, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3524 Tongass Ave, Ketchikan, AK 99901
Phone: 907-225-9830    
Mary Beth Patterson, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 74 Carltons Dr, Ketchikan, AK 99901
Phone: 520-981-3725    
Shawna Strouth-shaw, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 320 Bawden St Apt 313, Ketchikan, AK 99901
Phone: 907-220-9982    
Tammy Lorraine Earnest, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 Carlanna Lake Rd, Ste 102, Ketchikan, AK 99901
Phone: 907-247-9355    Fax: 907-225-9376
Maureen Northway, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5534 North Tongass Highway, Ketchikan, AK 99901
Phone: 907-225-4325    Fax: 907-531-7369
Amanda E Hulstine, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3528 Tongass Ave, Ketchikan, AK 99901
Phone: 907-220-4447    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.