Kathryn Colleen Dewilde, CRNA in San Jose, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Kathryn Colleen Dewilde, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Jose, California. She graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Orthopedic Associates Of Northern California A Medical Group, Cep America - Anesthesia Pc and her current practice location is 751 S Bascom Ave, Anesthesiology Dept, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 885-5000.

Kathryn Colleen Dewilde is licensed to practice in California (license number 3780) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548409709.

Contact Information

	Kathryn Colleen Dewilde, CRNA
	751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128-2604
	(408) 885-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathryn Colleen Dewilde
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	751 S Bascom Ave, San Jose, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathryn Colleen Dewilde graduated from nursing school in 2008

NPI Data:

NPI Number: 1548409709
Provider Enumeration Date: 02/11/2009
Last Update Date: 06/30/2025

Medicare PECOS Information:

PECOS PAC ID: 0648321216
Enrollment ID: I20090623000249

Medical Identifiers

Medical identifiers for Kathryn Colleen Dewilde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548409709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3780 (California)	Primary
367500000X	Nurse Anesthetist, Certified Registered	RN652433 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Elizabeth Community Hospital	Red bluff, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic Associates Of Northern California A Medical Group	1254239965	25
Cep America - Anesthesia Pc	3678897915	397

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. Kathryn Colleen Dewilde allows following entities to bill medicare on her behalf.

Entity Name	Orthopedic Associates Of Northern California A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235108077 PECOS PAC ID: 1254239965 Enrollment ID: O20031219000343

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784

Entity Name	Orohealth Corporation A Non Profit Healthcare System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013933167 PECOS PAC ID: 4082501192 Enrollment ID: O20040325001703

Entity Name	Cep America - Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110

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. Kathryn Colleen Dewilde 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
Kathryn Colleen Dewilde, CRNA 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128-2604 Ph: (408) 885-5000	Kathryn Colleen Dewilde, CRNA 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128-2604 Ph: (408) 885-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Jose, CA

Tiassa Lena Powell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000
Mrs. Melinda K Moye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128 Phone: 408-793-6515 Fax: 408-885-7307
Lindsay Bradley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000
Mary A Carlisle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-6320
Sonanika Chouhan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000
Anna Leonidovna Bibergal, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000
Angela Marie Sperry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128 Phone: 408-885-5745

Kathryn Colleen Dewilde, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in San Jose, CA