Kaitlin Dewilde, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in San Francisco, California. Her current practice location is
505 Parnassus Ave Rm M24, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 353-1529.
Kaitlin Dewilde is licensed to practice in * (Not Available) (license number ) 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 1720664139.
Physician's Profile
Full Name | Kaitlin Dewilde |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 505 Parnassus Ave Rm M24, San Francisco, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720664139
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 04/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002261427
- Enrollment ID: I20231004003098
Medical Identifiers
Medical identifiers for Kaitlin Dewilde such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720664139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | A194840 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Kaitlin Dewilde 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 |
Kaitlin Dewilde, 505 Parnassus Ave Rm M24, San Francisco, CA 94143-2204 Ph: (415) 353-1529 | Kaitlin Dewilde, 505 Parnassus Ave Rm M24, San Francisco, CA 94143-2204 Ph: (415) 353-1529 |
Reviews and Comments