Keri S H Wardwell, MD - Medicare Family Practice in Harbor City, CA

Keri S H Wardwell, MD is a medicare enrolled "Family Medicine" physician in Harbor City, California. She went to University Of California, Davis School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Medical Institute and her current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to her office (for appointments etc.) via phone at (310) 517-4083.

Keri S H Wardwell is licensed to practice in California (license number A106345) 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 1104017573.

Contact Information

Keri S H Wardwell, MD
25825 Vermont Ave,
Harbor City, CA 90710-3518
(310) 517-4083
Not Available



Physician's Profile

Full NameKeri S H Wardwell
GenderFemale
SpecialityFamily Practice
Experience17 Years
Location25825 Vermont Ave, Harbor City, California
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:
  • Keri S H Wardwell attended and graduated from University Of California, Davis School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1104017573
  • Provider Enumeration Date: 08/09/2007
  • Last Update Date: 04/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5890950331
  • Enrollment ID: I20120706000250

Medical Identifiers

Medical identifiers for Keri S H Wardwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104017573NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A106345 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Little Company Of Mary Med Ctr TorranceTorrance, CAHospital
Providence Little Co Of Mary Med Ctr San PedroSan pedro, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Institute5991609737290

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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. Keri S H Wardwell allows following entities to bill medicare on her behalf.
Entity NameProvidence Medical Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417915760
PECOS PAC ID: 5991609737
Enrollment ID: O20031121000910

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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. Keri S H Wardwell 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
Keri S H Wardwell, MD
1499 W 1st St,
San Pedro, CA 90732-3255

Ph: (310) 831-9482
Keri S H Wardwell, MD
25825 Vermont Ave,
Harbor City, CA 90710-3518

Ph: (310) 517-4083

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Family Medicine Doctors in Harbor City, CA

Lynnea Wilson Morm,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1403 Lomita Blvd Ste 102, Harbor City, CA 90710
Phone: 310-534-7600    
Dr. Charles Bui, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-517-4027    
Christine Nguyen Dao, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Department Of Family Medicine, Harbor City, CA 90710
Phone: 310-325-5111    
Natalie Ting, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Dr. Elvina L Torres-campos, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1403 Lomita Blvd Ste 102, Harbor City, CA 90710
Phone: 310-534-7600    
Lisa M. Young, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Vanessa Gavin-headen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    

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