Katyana Marie Wiedenman, MS in Fargo, ND - Medicare Qualified Speech Language Pathologist Provider

Katyana Marie Wiedenman, MS is a medicare enrolled "Speech-language Pathologist" provider in Fargo, North Dakota. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Kennelly Speech-language Pathology, Ltd. and her current practice location is 1220 Main Ave, Suite 120, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 364-5433.

Katyana Marie Wiedenman is licensed to practice in North Dakota (license number 1119) 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 1770899577.

Contact Information

	Katyana Marie Wiedenman, MS
	1220 Main Ave, Suite 120, Fargo, ND 58103-8201
	(701) 364-5433
	(701) 364-2256

Map and Direction

Healthcare Provider's Profile

Full Name	Katyana Marie Wiedenman
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	14 Years
Location	1220 Main Ave, Fargo, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katyana Marie Wiedenman graduated from medical school in 2010

NPI Data:

NPI Number: 1770899577
Provider Enumeration Date: 08/31/2010
Last Update Date: 10/20/2014

Medicare PECOS Information:

PECOS PAC ID: 8820278179
Enrollment ID: I20110203001024

Medical Identifiers

Medical identifiers for Katyana Marie Wiedenman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770899577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	1119 (North Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kennelly Speech-language Pathology, Ltd.	8921292707	6

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. Katyana Marie Wiedenman allows following entities to bill medicare on her behalf.

Provider Name	Kennelly Speech-language Pathology, Ltd.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154370187 PECOS PAC ID: 8921292707 Enrollment ID: O20101118001445

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. Katyana Marie Wiedenman 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
Katyana Marie Wiedenman, MS 1220 Main Ave, Suite 120, Fargo, ND 58103-8201 Ph: (701) 364-5433	Katyana Marie Wiedenman, MS 1220 Main Ave, Suite 120, Fargo, ND 58103-8201 Ph: (701) 364-5433

Reviews and Comments

Speech-Language Pathologist in Fargo, ND

Mrs. Jill S Erickson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1727 South 16th Street, Fargo, ND 58103 Phone: 701-446-4800
Katherine Wilson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2846 Brandt Dr S, Fargo, ND 58104 Phone: 701-232-2340 Fax: 701-232-2330
Sarah Hoepfner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6970 Fax: 701-234-7391
Nancy Knowlton, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 Phone: 701-356-0062 Fax: 701-356-5412
Kayla Marie Flach, MSLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 4500 36th Ave S Ste 200, Fargo, ND 58104 Phone: 701-532-1507 Fax: 701-532-1529
Madison Jewel Neumann, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 405-388-9116
Sydney M Honek, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4152 30th Ave S, Fargo, ND 58104 Phone: 701-551-1750

Katyana Marie Wiedenman, MS - Medicare Speech-Language Pathologist in Fargo, ND