Mrs Susana Wayeta Kataka, NP is a medicare enrolled "Nurse Practitioner - Women's Health" physician in Modesto, California. Her current practice location is
2401 E Orangeburg Ave Ste 330, Modesto, California. You can reach out to her office (for appointments etc.) via phone at
(209) 383-5871.
Mrs Susana Wayeta Kataka is licensed to practice in California (license number 95028644) 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 1457470148.
Physician's Profile
| Full Name | Mrs Susana Wayeta Kataka |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Women's Health |
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| Location | 2401 E Orangeburg Ave Ste 330, Modesto, 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: 1457470148
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 02/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981641735
- Enrollment ID: I20240216002880
Medical Identifiers
Medical identifiers for Mrs Susana Wayeta Kataka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457470148 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 680495 (Texas) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 680495 (Texas) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | AP113842 (Texas) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 11938 (Connecticut) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 95028644 (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. Mrs Susana Wayeta Kataka allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952591851
PECOS PAC ID: 0547169138
Enrollment ID: O20040102000412 |
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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. Mrs Susana Wayeta Kataka 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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Mrs Susana Wayeta Kataka, NP
12645 Memorial Dr Ste 1,
Houston, TX 77024-4898
Ph: (713) 291-4084 | Mrs Susana Wayeta Kataka, NP
2401 E Orangeburg Ave Ste 330,
Modesto, CA 95355-3396
Ph: (209) 383-5871 |
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