Katherine Kidde, in Oceanside, CA - Medicare Nurse Anesthetist, Certified Registered

Katherine Kidde, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oceanside, California. Her current practice location is 200 Mercy Circle, Oceanside, California. You can reach out to her office (for appointments etc.) via phone at (760) 725-1288.

Katherine Kidde is licensed to practice in California (license number 660518) 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 1104224773.

Contact Information

	Katherine Kidde,
	200 Mercy Circle, Oceanside, CA 92055
	(760) 725-1288
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Kidde
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	200 Mercy Circle, Oceanside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104224773
Provider Enumeration Date: 12/15/2014
Last Update Date: 06/13/2025

Medicare PECOS Information:

PECOS PAC ID: 6204236862
Enrollment ID: I20210618000430

Medical Identifiers

Medical identifiers for Katherine Kidde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104224773	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95000299 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024180958 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	660518 (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. Katherine Kidde allows following entities to bill medicare on her behalf.

Entity Name	Atlantic Anesthesia, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720181514 PECOS PAC ID: 4587562152 Enrollment ID: O20031222000273

Entity Name	Eastern Virginia Anesthesia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679117048 PECOS PAC ID: 3476989716 Enrollment ID: O20200205002610

Entity Name	Ambulatory Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720192230 PECOS PAC ID: 2264320829 Enrollment ID: O20220215002595

Entity Name	Northstar Anesthesia Of Virginia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063

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. Katherine Kidde 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
Katherine Kidde, 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: () -	Katherine Kidde, 200 Mercy Circle, Oceanside, CA 92055 Ph: (760) 725-1288

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oceanside, CA

Mrs. Lindsay Amador, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4002 Vista Way, Oceanside, CA 92056 Phone: 760-801-4000
Melissa C Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Oceanside, CA 92055 Phone: 760-685-1296
Sarah Faris, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Oceanside, CA 92055 Phone: 760-719-3554
Jeffrey Keith Burney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Camp Pendleton, Oceanside, CA 92055 Phone: 760-685-1296
Marylou Blais, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Mercy Circle, Oceanside, CA 92055 Phone: 760-685-1296
Mrs. Jean Mary Folkerth, CRNFA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3998 Vista Way, Suite A, Oceanside, CA 92056 Phone: 760-726-2500 Fax: 760-726-3279

Katherine Kidde, - Medicare Nurse Anesthetist, Certified Registered in Oceanside, CA