Khadija Wiese, PA-C - Medicare Physician Assistant in Brooklyn, NY

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Khadija Wiese, PA-C is a medicare enrolled "Physician Assistant" in Brooklyn, New York. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice North Shore Lij Urgent Care Pc and her current practice location is 374 Stockholm St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 963-7272.

Khadija Wiese is licensed to practice in NU (license number ) 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 1730514787.

Contact Information

Khadija Wiese, PA-C
374 Stockholm St,
Brooklyn, NY 11237-4006
(718) 963-7272
Not Available

Map and Direction




Provider's Profile

Full NameKhadija Wiese
GenderFemale
SpecialityPhysician Assistant
Experience13 Years
Location374 Stockholm St, Brooklyn, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Khadija Wiese graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1730514787
  • Provider Enumeration Date: 09/10/2013
  • Last Update Date: 09/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5496982720
  • Enrollment ID: I20131212000970

Medical Identifiers

Medical identifiers for Khadija Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730514787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (NU)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore Lij Urgent Care Pc6002131778389

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. Khadija Wiese allows following entities to bill medicare on her behalf.
Entity NameStatcare Urgent & Walk in Medical Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336426667
PECOS PAC ID: 3577724582
Enrollment ID: O20120419000228
Entity NameOptum Urgent Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285975797
PECOS PAC ID: 8628299518
Enrollment ID: O20141017000598
Entity NameNorth Shore Lij Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679970891
PECOS PAC ID: 6002131778
Enrollment ID: O20150223000060
Entity NameHicksville Family Medical Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770813792
PECOS PAC ID: 7416290564
Enrollment ID: O20190514000263

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. Khadija Wiese 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 AddressPractice Location Address
Khadija Wiese, PA-C
4845 208th St,
Bayside, NY 11364-1116

Ph: (917) 514-7877		Khadija Wiese, PA-C
374 Stockholm St,
Brooklyn, NY 11237-4006

Ph: (718) 963-7272

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.