Carolyn Powers Wiersma, in Chinle, AZ - Medicare Psychiatry & Neurology

Carolyn Powers Wiersma, is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Chinle, Arizona. Her current practice location is Us Highway 191 & Hospital Road, Chinle, Arizona. You can reach out to her office (for appointments etc.) via phone at (864) 884-7879.

Carolyn Powers Wiersma is licensed to practice in Pennsylvania (license number MD463873) 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 1780070805.

Contact Information

	Carolyn Powers Wiersma,
	Us Highway 191 & Hospital Road, Chinle, AZ 86503
	(864) 884-7879
	Not Available

Map and Direction

Physician's Profile

Full Name	Carolyn Powers Wiersma
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	Us Highway 191 & Hospital Road, Chinle, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780070805
Provider Enumeration Date: 04/15/2015
Last Update Date: 10/02/2020

Medicare PECOS Information:

PECOS PAC ID: 0042630386
Enrollment ID: I20201026002326

Medical Identifiers

Medical identifiers for Carolyn Powers Wiersma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780070805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	MD463873 (Pennsylvania)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Carolyn Powers Wiersma allows following entities to bill medicare on her behalf.

Entity Name	Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210

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. Carolyn Powers Wiersma 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
Carolyn Powers Wiersma, Po Box Ph, Chinle, AZ 86503-8000 Ph: (864) 884-7879	Carolyn Powers Wiersma, Us Highway 191 & Hospital Road, Chinle, AZ 86503 Ph: (864) 884-7879

Reviews and Comments

Psychiatry & Neurology Doctors in Chinle, AZ

Dr. Rebecca Michelle White, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86053 Phone: 928-674-7166
Dr. Katherine M Erdwinn, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Corner Of Hwy 191 And Ir 102, Indian Health Service, Chinle Comprehensive Health Care, Chinle, AZ 86503 Phone: 928-674-7383 Fax: 928-674-7600
Dr. Ja'nelle Maxine Blocker, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Po Box Ph, Chinle, AZ 86503 Phone: 928-674-7001
Daniel J Conrad, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7050 Fax: 928-674-7600

Carolyn Powers Wiersma, - Medicare Psychiatry & Neurology in Chinle, AZ