Mrs Serena Lee Weidner, NP-C - Medicare Nurse Practitioner in Charlotte, NC

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Mrs Serena Lee Weidner, NP-C is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Skin Surgery Center Pa and her current practice location is 10512 Park Rd Ste 113, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 542-8018.

Mrs Serena Lee Weidner is licensed to practice in North Carolina (license number 5008148) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346634268.

Contact Information

Mrs Serena Lee Weidner, NP-C
10512 Park Rd Ste 113,
Charlotte, NC 28210-8469
(704) 542-8018
Not Available

Map and Direction




Provider's Profile

Full NameMrs Serena Lee Weidner
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location10512 Park Rd Ste 113, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Serena Lee Weidner attended and graduated from University Of South Carolina School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1346634268
  • Provider Enumeration Date: 03/28/2015
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668789363
  • Enrollment ID: I20211130002407

Medical Identifiers

Medical identifiers for Mrs Serena Lee Weidner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346634268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5008148 (North Carolina)Primary
363L00000XNurse Practitioner 19321 (South Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Skin Surgery Center Pa317359947953

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. Mrs Serena Lee Weidner allows following entities to bill medicare on her behalf.
Entity NameSkin Surgery Center Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649237082
PECOS PAC ID: 3173599479
Enrollment ID: O20040908000943
Entity NamePinnacle Dermatology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861930984
PECOS PAC ID: 8628353380
Enrollment ID: O20200713001681

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. Mrs Serena Lee Weidner 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
Mrs Serena Lee Weidner, NP-C
820 Springer Dr,
Lombard, IL 60148-6413

Ph: (815) 744-8554		Mrs Serena Lee Weidner, NP-C
10512 Park Rd Ste 113,
Charlotte, NC 28210-8469

Ph: (704) 542-8018

Reviews and Comments


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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.