Kailyn Wiersma, in Meridian, ID - Medicare Pediatrics

Kailyn Wiersma, is a medicare enrolled "Pediatrics" physician in Meridian, Idaho. Her current practice location is 1620 S Celebration Ave, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 884-1030.

Kailyn Wiersma is licensed to practice in Idaho (license number M-16194) 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 1508393976.

Contact Information

	Kailyn Wiersma,
	1620 S Celebration Ave, Meridian, ID 83642-2779
	(208) 884-1030
	Not Available

Map and Direction

Physician's Profile

Full Name	Kailyn Wiersma
Gender	Female
Speciality	Pediatrics
Location	1620 S Celebration Ave, Meridian, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508393976
Provider Enumeration Date: 05/17/2017
Last Update Date: 04/14/2022

Medicare PECOS Information:

PECOS PAC ID: 7012286388
Enrollment ID: I20220421002152

Medical Identifiers

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

Identifier	Type	State	Issuer
1508393976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301501833 (Michigan)	Secondary
208000000X	Pediatrics	4301112092 (Michigan)	Secondary
208000000X	Pediatrics	M-16194 (Idaho)	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. Kailyn Wiersma allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Kailyn 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
Kailyn Wiersma, 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Kailyn Wiersma, 1620 S Celebration Ave, Meridian, ID 83642-2779 Ph: (208) 884-1030

Reviews and Comments

Pediatrics Doctors in Meridian, ID

Kristina Miles, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3277 E Louise Dr Ste 200, Meridian, ID 83642 Phone: 208-463-3000
Mrs. Anne E. Riffle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3653 N. Locust Grove Road, Meridian, ID 83646 Phone: 208-338-5437 Fax: 208-939-9811
Robert F Adams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-336-9188
Joshua Edwin Albright, Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030
Lisa M. Barker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030
Dr. Brian C Birch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2921 S Meridian Rd, Meridian, ID 83642 Phone: 208-297-7847 Fax: 208-203-0097
Susan C Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3280 E Lanark Dr, Meridian, ID 83642 Phone: 208-377-4400 Fax: 208-377-4416

Kailyn Wiersma, - Medicare Pediatrics in Meridian, ID