Karen Patricia Gonsalves-wetherell, MD in Glendale, AZ

Karen Patricia Gonsalves-wetherell, MD is a medicare enrolled "General Practice" physician in Glendale, Arizona. Her current practice location is 5620 W Thunderbird Rd, F1, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 938-6960.

Karen Patricia Gonsalves-wetherell is licensed to practice in Arizona (license number 27241) 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 1033118393.

Contact Information

	Karen Patricia Gonsalves-wetherell, MD
	5620 W Thunderbird Rd, F1, Glendale, AZ 85306-4636
	(602) 938-6960
	(602) 938-6069

Map and Direction

Physician's Profile

Full Name	Karen Patricia Gonsalves-wetherell
Gender	Female
Speciality	General Practice
Location	5620 W Thunderbird Rd, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033118393
Provider Enumeration Date: 07/19/2005
Last Update Date: 07/08/2013

Medicare PECOS Information:

PECOS PAC ID: 0941498059
Enrollment ID: I20101215001222

Medical Identifiers

Medical identifiers for Karen Patricia Gonsalves-wetherell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033118393	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	27241 (Arizona)	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. Karen Patricia Gonsalves-wetherell allows following entities to bill medicare on her behalf.

Entity Name	Summit Medical Group Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015

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. Karen Patricia Gonsalves-wetherell 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
Karen Patricia Gonsalves-wetherell, MD 5620 W Thunderbird Rd, F1, Glendale, AZ 85306-4636 Ph: (602) 938-6960	Karen Patricia Gonsalves-wetherell, MD 5620 W Thunderbird Rd, F1, Glendale, AZ 85306-4636 Ph: (602) 938-6960

Reviews and Comments

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Karen Patricia Gonsalves-wetherell, MD - Medicare General Practice in Glendale, AZ