Hiwot Watiro, is a medicare enrolled "Nurse Practitioner" physician in Santa Monica, California. Her current practice location is
1250 16th St, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at
(424) 259-9457.
Hiwot Watiro is licensed to practice in California (license number 95000635) 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 1770996076.
Physician's Profile
| Full Name | Hiwot Watiro |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1250 16th St, Santa Monica, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770996076
- Provider Enumeration Date: 06/04/2014
- Last Update Date: 11/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779885850
- Enrollment ID: I20160106001680
Medical Identifiers
Medical identifiers for Hiwot Watiro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770996076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RH0003X | Internal Medicine - Hematology & Oncology | 95000635 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 95000635 (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. Hiwot Watiro allows following entities to bill medicare on her behalf.
| Entity Name | Aleem Syed Md A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609972256
PECOS PAC ID: 6103002498
Enrollment ID: O20110523000228 |
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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. Hiwot Watiro 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 |
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Hiwot Watiro,
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631
Ph: () - | Hiwot Watiro,
1250 16th St,
Santa Monica, CA 90404-1249
Ph: (424) 259-9457 |
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