Nicole Catherine Weidow, DO in Scottsdale, AZ

Nicole Catherine Weidow, DO is a medicare enrolled "Pediatrics" physician in Scottsdale, Arizona. Her current practice location is 9827 N 95th St Ste 105, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 860-8488.

Nicole Catherine Weidow is licensed to practice in Arizona (license number 012355) 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 1679190755.

Contact Information

	Nicole Catherine Weidow, DO
	9827 N 95th St Ste 105, Scottsdale, AZ 85258-4591
	(480) 860-8488
	(480) 860-8498

Map and Direction

Physician's Profile

Full Name	Nicole Catherine Weidow
Gender	Female
Speciality	Pediatrics
Location	9827 N 95th St Ste 105, Scottsdale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679190755
Provider Enumeration Date: 07/06/2020
Last Update Date: 05/13/2026

Medicare PECOS Information:

PECOS PAC ID: 9335539592
Enrollment ID: I20240717003527

Medical Identifiers

Medical identifiers for Nicole Catherine Weidow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679190755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	DO.2671 (Alabama)	Secondary
208000000X	Pediatrics	012355 (Arizona)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(Alabama)	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. Nicole Catherine Weidow allows following entities to bill medicare on her behalf.

Entity Name	University Of South Alabama Health Care Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508392432 PECOS PAC ID: 4082986088 Enrollment ID: O20170825003180

Entity Name	Usa Health Physician Billing Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827

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. Nicole Catherine Weidow 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
Nicole Catherine Weidow, DO Po Box 746450, Atlanta, GA 30374-6450 Ph: (866) 401-3057	Nicole Catherine Weidow, DO 9827 N 95th St Ste 105, Scottsdale, AZ 85258-4591 Ph: (480) 860-8488

Reviews and Comments

Pediatrics Doctors in Scottsdale, AZ

Matthew Barcellona, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10200 N 92nd St Ste 150, Scottsdale, AZ 85258 Phone: 480-551-5064 Fax: 480-860-8498
Dr. Sherry Patricia Pottgen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21807 N Scottsdale Rd, Scottsdale, AZ 85255 Phone: 480-425-8488 Fax: 480-425-8498
Nirav Patel, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 20201 N Scottsdale Healthcare Dr, Ste 260, Scottsdale, AZ 85255 Phone: 480-398-1550 Fax: 480-398-1551
Tierra Schulz, PNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9827 N 95th St Ste 105, Scottsdale, AZ 85258 Phone: 253-224-8314
Dr. Katherine Lichtsinn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7555 E Osborn Rd, Suite 106, Scottsdale, AZ 85251 Phone: 480-609-8100 Fax: 480-922-7551
Jamie Russelle Wallace, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10752 N 89th Pl, #126, Scottsdale, AZ 85260 Phone: 480-860-1161 Fax: 480-860-6561
John A Pope, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9003 E Shea Blvd, Scottsdale, AZ 85260 Phone: 480-323-3644 Fax: 480-323-3510

Nicole Catherine Weidow, DO - Medicare Pediatrics in Scottsdale, AZ