Ms Katey Waldon, NP - Medicare Nurse Practitioner in Fayetteville, NY

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Ms Katey Waldon, NP is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, New York. Her current practice location is 4110 Medical Center Dr, Fayetteville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 663-0100.

Ms Katey Waldon is licensed to practice in New York (license number 347812) 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 1487017901.

Contact Information

Ms Katey Waldon, NP
4110 Medical Center Dr,
Fayetteville, NY 13066-6613
(315) 663-0100
Not Available

Map and Direction




Provider's Profile

Full NameMs Katey Waldon
GenderFemale
SpecialityNurse Practitioner - Family
Location4110 Medical Center Dr, Fayetteville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487017901
  • Provider Enumeration Date: 04/01/2016
  • Last Update Date: 03/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800270513
  • Enrollment ID: I20220830001950

Medical Identifiers

Medical identifiers for Ms Katey Waldon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487017901NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 707400 (New York)Secondary
363LF0000XNurse Practitioner - Family 347812 (New York)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. Ms Katey Waldon allows following entities to bill medicare on her behalf.
Entity NameDr. Fazeli & Dr. Broumand Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336235639
PECOS PAC ID: 0446358063
Enrollment ID: O20070606000029

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. Ms Katey Waldon 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
Ms Katey Waldon, NP
4110 Medical Center Dr,
Fayetteville, NY 13066-6613

Ph: (315) 663-0100		Ms Katey Waldon, NP
4110 Medical Center Dr,
Fayetteville, NY 13066-6613

Ph: (315) 663-0100

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, NY

Mary Oot, FNP
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Phone: 315-663-0500    
Ms. Hannah Joan Walsh, FNP-C
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Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066
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Theresa Baxter, FNP
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Practice Location: 221 Hunt Dr, Fayetteville, NY 13066
Phone: 315-637-8148    
Jayme K Schreck, NP
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Medicare: Medicare Enrolled
Practice Location: 510 Towne Dr, Fayetteville, NY 13066
Phone: 315-663-0500    Fax: 315-663-0514
Taylor Fisher,
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Medicare: Medicare Enrolled
Practice Location: 6870 E Genesee St, Fayetteville, NY 13066
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Mrs. Jenaye Karin Broe, FNP-C
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Practice Location: 4000 Medical Center Dr Ste 110, Fayetteville, NY 13066
Phone: 315-663-0100    
Kathleen Judith Hergert, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 510 Towne Dr, Fayetteville, NY 13066
Phone: 315-627-0448    

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.