Dr Cynthia Xakellis Wiederholt, MD in Florissant, MO

Dr Cynthia Xakellis Wiederholt, MD is a medicare enrolled "Emergency Medicine" physician in Florissant, Missouri. Her current practice location is Fast Track Urgent Care, 2686 N Highway 67, Florissant, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 921-7300.

Dr Cynthia Xakellis Wiederholt is licensed to practice in Missouri (license number 2009001470) 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 1215190558.

Contact Information

	Dr Cynthia Xakellis Wiederholt, MD
	Fast Track Urgent Care, 2686 N Highway 67, Florissant, MO 63023-1438
	(314) 921-7300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Cynthia Xakellis Wiederholt
Gender	Female
Speciality	Emergency Medicine
Location	Fast Track Urgent Care, Florissant, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215190558
Provider Enumeration Date: 07/07/2008
Last Update Date: 11/29/2018

Medicare PECOS Information:

PECOS PAC ID: 4082965694
Enrollment ID: I20180920002401

Medical Identifiers

Medical identifiers for Dr Cynthia Xakellis Wiederholt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215190558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2009001470 (Missouri)	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. Dr Cynthia Xakellis Wiederholt allows following entities to bill medicare on her behalf.

Entity Name	Fast Track Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568770626 PECOS PAC ID: 2062693336 Enrollment ID: O20110218000623

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. Dr Cynthia Xakellis Wiederholt 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
Dr Cynthia Xakellis Wiederholt, MD Fast Track Urgent Care, 2686 N. Highway 67, Florissant, MO 63023-1438 Ph: (314) 921-7300	Dr Cynthia Xakellis Wiederholt, MD Fast Track Urgent Care, 2686 N Highway 67, Florissant, MO 63023-1438 Ph: (314) 921-7300

Reviews and Comments

Emergency Medicine Doctors in Florissant, MO

William Weston, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-653-5000
Scott Crawford Mcclure, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3433 N Highway 67, Florissant, MO 63033 Phone: 314-720-4380 Fax: 314-720-4381
Roger Waxelman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-953-6000
Cynthia Bleichroth, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-653-5000
Raj Shivaji, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-953-6000
Melvyn Ralph Goldberg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-525-1900 Fax: 314-525-4868

Dr Cynthia Xakellis Wiederholt, MD - Medicare Emergency Medicine in Florissant, MO