Kathleen Wides, MD in Bluefield, WV - Medicare Internal Medicine

Kathleen Wides, MD is a medicare enrolled "Internal Medicine" physician in Bluefield, West Virginia. Her current practice location is 500 Cherry St, Bluefield, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 332-7110.

Kathleen Wides is licensed to practice in West Virginia (license number 15161WV) 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 1700838968.

Contact Information

	Kathleen Wides, MD
	500 Cherry St, Bluefield, WV 24701-3306
	(304) 332-7110
	Not Available

Map and Direction

Physician's Profile

Full Name	Kathleen Wides
Gender	Female
Speciality	Internal Medicine
Location	500 Cherry St, Bluefield, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700838968
Provider Enumeration Date: 05/16/2006
Last Update Date: 02/17/2009

Medicare PECOS Information:

PECOS PAC ID: 9830100338
Enrollment ID: I20060517000018

Medical Identifiers

Medical identifiers for Kathleen Wides such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700838968	NPI	-	NPPES
010275598	Medicaid	VA
000023444	Other	WV	BLUE CROSS BLUE SHIELD
3001599	Other	WV	BRICKSTREET
0071366000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	15161WV (West Virginia)	Primary
207P00000X	Emergency Medicine	15161WV (West Virginia)	Secondary

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. Kathleen Wides allows following entities to bill medicare on her behalf.

Entity Name	Greenbrier Emergency Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20031205000043

Entity Name	Princeton Community Hospital Assn. Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436

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. Kathleen Wides 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
Kathleen Wides, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136	Kathleen Wides, MD 500 Cherry St, Bluefield, WV 24701-3306 Ph: (304) 332-7110

Reviews and Comments

Internal Medicine Doctors in Bluefield, WV

Engelbert Tito Ranada, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Cherry St, Bluefield, WV 24701 Phone: 304-327-1666 Fax: 304-327-1806
Mayank S Amin, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 512 Cherry St, Building I, Bluefield, WV 24701 Phone: 304-324-2715 Fax: 304-324-2774
Dr. Razelle Joco Reyes, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Cherry St, Bluefield, WV 24701 Phone: 304-327-1666
Dr. Nimish G Patel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Cherry St, Bluefield, WV 24701 Phone: 502-644-1000
Jinaya Lee O'neal, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 129 Sandhurst Ct, Bluefield, WV 24701 Phone: 304-327-9838
Dr. Radha K Krishnan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 Frederick St, Bluefield, WV 24701 Phone: 304-325-5468
Kanwal Razzaq, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 510 Cherry St, Bldg A, Ste 104a, Bluefield, WV 24701 Phone: 304-325-1992 Fax: 304-327-1839

Kathleen Wides, MD - Medicare Internal Medicine in Bluefield, WV