Kenan Weidner, in Lititz, PA - Medicare Nurse Practitioner

Kenan Weidner, is a medicare enrolled "Nurse Practitioner - Family" in Lititz, Pennsylvania. His current practice location is 313 Autumn Harvest Lane, Lititz, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 780-1523.

Kenan Weidner is licensed to practice in Pennsylvania (license number SP030911) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538980313.

Contact Information

	Kenan Weidner,
	313 Autumn Harvest Lane, Lititz, PA 17543
	(610) 780-1523
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenan Weidner
Gender	Male
Speciality	Nurse Practitioner - Family
Location	313 Autumn Harvest Lane, Lititz, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538980313
Provider Enumeration Date: 10/23/2024
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2062942675
Enrollment ID: I20250212001495

Medical Identifiers

Medical identifiers for Kenan Weidner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538980313	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP030911 (Pennsylvania)	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. Kenan Weidner allows following entities to bill medicare on his behalf.

Entity Name	Creek Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376929679 PECOS PAC ID: 7315257540 Enrollment ID: O20151030000839

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. Kenan Weidner 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
Kenan Weidner, 313 Autumn Harvest Lane, Lititz, PA 17543 Ph: (610) 780-1523	Kenan Weidner, 313 Autumn Harvest Lane, Lititz, PA 17543 Ph: (610) 780-1523

Reviews and Comments

Nurse Practitioner Nurses in Lititz, PA

Ahna D Fulmer, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-988-0000 Fax: 717-782-5716
Leah Michelle Ortiz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 E Oregon Rd, Lititz, PA 17543 Phone: 717-569-8773 Fax: 717-569-8187
Nicole Shaffer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 W Newport Rd, Lititz, PA 17543 Phone: 717-627-2108
Mrs. Kayla Lee Beard, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-568-8865 Fax: 717-231-8756
Megan E Jones, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Airport Rd, Lititz, PA 17543 Phone: 717-466-2445 Fax: 717-466-2447
Michele O'neill, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Airport Rd, Lititz, PA 17543 Phone: 717-466-2445 Fax: 717-466-2447
Jonathan D Hostetter, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 W Newport Rd, Lititz, PA 17543 Phone: 717-627-2108

Kenan Weidner, - Medicare Nurse Practitioner in Lititz, PA