Kimberly Wetherholt, CRNA - Medicare Nurse Anesthetist, Certified Registered in Harbor City, CA

Kimberly Wetherholt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Harbor City, California. 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) 325-5111.

Kimberly Wetherholt is licensed to practice in California (license number NA2413) 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 1376744268.

Contact Information

Kimberly Wetherholt, CRNA
25825 Vermont Ave,
Harbor City, CA 90710-3518
(310) 325-5111
Not Available



Provider's Profile

Full NameKimberly Wetherholt
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location25825 Vermont Ave, Harbor City, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376744268
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739121997
  • Enrollment ID: I20050526001040

Medical Identifiers

Medical identifiers for Kimberly Wetherholt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376744268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered NA2413 (California)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. Kimberly Wetherholt allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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Entity NameAccess Care Anesthesia Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528726809
PECOS PAC ID: 8820482243
Enrollment ID: O20220301002383

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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. Kimberly Wetherholt 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
Kimberly Wetherholt, CRNA
25825 Vermont Ave,
Harbor City, CA 90710-3518

Ph: (310) 325-5111
Kimberly Wetherholt, CRNA
25825 Vermont Ave,
Harbor City, CA 90710-3518

Ph: (310) 325-5111

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Nurse Anesthetist, Certified Registered Nurses in Harbor City, CA

Tina L Holt, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Loreto Albaran, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Mr. Scott Mathews, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-517-2585    
Melissa Roupoli, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 800-780-1230    
Michelle A Navarrette, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Angela Burney, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    
Mr. Jon David Beserra Ii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 25825 Vermont Ave, Harbor City, CA 90710
Phone: 310-325-5111    

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