Brandy Nichole Wilt, NP in Gardena, CA - Medicare Nurse Practitioner

Brandy Nichole Wilt, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Gardena, California. Her current practice location is 1145 W Redondo Beach Blvd, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 532-4200.

Brandy Nichole Wilt is licensed to practice in California (license number 95023834) 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 1184311391.

Contact Information

	Brandy Nichole Wilt, NP
	1145 W Redondo Beach Blvd, Gardena, CA 90247-3511
	(310) 532-4200
	Not Available

Map and Direction

Provider's Profile

Full Name	Brandy Nichole Wilt
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1145 W Redondo Beach Blvd, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184311391
Provider Enumeration Date: 04/18/2023
Last Update Date: 04/18/2023

Medicare PECOS Information:

PECOS PAC ID: 9032570080
Enrollment ID: I20230807002779

Medical Identifiers

Medical identifiers for Brandy Nichole Wilt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184311391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95023834 (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. Brandy Nichole Wilt allows following entities to bill medicare on her behalf.

Entity Name	Redondo Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376834937 PECOS PAC ID: 9032388269 Enrollment ID: O20110804000471

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. Brandy Nichole Wilt 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
Brandy Nichole Wilt, NP Po Box 9382, Mammoth Lakes, CA 93546-9341 Ph: (814) 931-5083	Brandy Nichole Wilt, NP 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 Ph: (310) 532-4200

Reviews and Comments

Nurse Practitioner Nurses in Gardena, CA

Starly Alvarado, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1045 W Redondo Beach Blvd Ste 300, Gardena, CA 90247 Phone: 323-241-6730
Blessing Otaniyen Omoruyi, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1229 W 164th St Apt D, Gardena, CA 90247 Phone: 323-674-3445 Fax: 323-544-4319
Jina Ko Yang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1149 W 190th St, Gardena, CA 90248 Phone: 310-851-4705
Courtney Lynn Flores, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200
Selali Ziga, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15116 S Raymond Ave Apt 106, Gardena, CA 90247 Phone: 909-576-0190
Ms. Adaljiza Tavera, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102
Anna Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15803 S Maple Ave, Gardena, CA 90248 Phone: 310-469-4273

Brandy Nichole Wilt, NP - Medicare Nurse Practitioner in Gardena, CA