Kathleen A Wooten, OD - Medicare Optometrist in Phoenix, AZ

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Kathleen A Wooten, OD is a medicare enrolled "Optometrist" provider in Phoenix, Arizona. Her current practice location is Phoenix Indian Medical Center, 4212 N. 16th Street, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 263-1200.

Kathleen A Wooten is licensed to practice in Kansas (license number 1609) 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 1386743532.

Contact Information

Kathleen A Wooten, OD
Phoenix Indian Medical Center, 4212 N. 16th Street,
Phoenix, AZ 85016-5319
(602) 263-1200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKathleen A Wooten
GenderFemale
SpecialityOptometrist
LocationPhoenix Indian Medical Center, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386743532
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 04/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8527366756
  • Enrollment ID: I20160420002546

Medical Identifiers

Medical identifiers for Kathleen A Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386743532NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1609 (Kansas)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. Kathleen A Wooten allows following entities to bill medicare on her behalf.
Provider NameDhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083643738
PECOS PAC ID: 1759290901
Enrollment ID: O20031105000797
Provider NameTon Sells Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1487652426
PECOS PAC ID: 5092768663
Enrollment ID: O20050301000125
Provider NameTon San Xavier Health Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437157302
PECOS PAC ID: 6608819339
Enrollment ID: O20050603000721
Provider NameTon Santa Rosa Health Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770581639
PECOS PAC ID: 0749223485
Enrollment ID: O20050603000761
Provider NameTon San Simon Health Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588834998
PECOS PAC ID: 8123194354
Enrollment ID: O20081111000398

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. Kathleen A Wooten 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
Kathleen A Wooten, OD
Po Box 31001-0698,
Pasadena, CA 91110-0698

Ph: (602) 263-1200		Kathleen A Wooten, OD
Phoenix Indian Medical Center, 4212 N. 16th Street,
Phoenix, AZ 85016-5319

Ph: (602) 263-1200

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.