Katherina Mary Weiss, is a
Licensed Practical Nurse based in Vicksburg, Michigan. Katherina Mary Weiss is licensed to practice in Michigan (license number 4703105434) and her current practice location is
13154 S 18th St, Vicksburg, Michigan. She can be reached at her office (for appointments etc.) via phone at
(475) 206-8654.
NPI number for Katherina Mary Weiss is 1578424891 and her current mailing address is 13154 S 18th St, Vicksburg, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578424891.
Provider's Profile
| Full Name | Katherina Mary Weiss |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 13154 S 18th St, Vicksburg, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578424891
- Provider Enumeration Date: 11/18/2025
- Last Update Date: 11/18/2025
Medical Identifiers
Medical identifiers for Katherina Mary Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578424891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 4703105434 (Michigan) | Primary |
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. Katherina Mary Weiss is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Katherina Mary Weiss, 13154 S 18th St, Vicksburg, MI 49097-8431 Ph: (475) 206-8654 | Katherina Mary Weiss, 13154 S 18th St, Vicksburg, MI 49097-8431 Ph: (475) 206-8654 |
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