Mrs Serena Lee Weidner, NP-C in Charlotte, NC

Mrs Serena Lee Weidner, NP-C is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Skin Surgery Center Pa and her current practice location is 10512 Park Rd Ste 113, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 542-8018.

Mrs Serena Lee Weidner is licensed to practice in North Carolina (license number 5008148) 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 1346634268.

Contact Information

	Mrs Serena Lee Weidner, NP-C
	10512 Park Rd Ste 113, Charlotte, NC 28210-8469
	(704) 542-8018
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Serena Lee Weidner
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	10512 Park Rd Ste 113, Charlotte, North Carolina
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:

Mrs Serena Lee Weidner attended and graduated from University Of South Carolina School Of Medicine in 2014

NPI Data:

NPI Number: 1346634268
Provider Enumeration Date: 03/28/2015
Last Update Date: 01/25/2022

Medicare PECOS Information:

PECOS PAC ID: 2668789363
Enrollment ID: I20211130002407

Medical Identifiers

Medical identifiers for Mrs Serena Lee Weidner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346634268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5008148 (North Carolina)	Primary
363L00000X	Nurse Practitioner	19321 (South Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Skin Surgery Center Pa	3173599479	60

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. Mrs Serena Lee Weidner allows following entities to bill medicare on her behalf.

Entity Name	Skin Surgery Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649237082 PECOS PAC ID: 3173599479 Enrollment ID: O20040908000943

Entity Name	Pinnacle Dermatology Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20200713001681

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. Mrs Serena Lee 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
Mrs Serena Lee Weidner, NP-C 820 Springer Dr, Lombard, IL 60148-6413 Ph: (815) 744-8554	Mrs Serena Lee Weidner, NP-C 10512 Park Rd Ste 113, Charlotte, NC 28210-8469 Ph: (704) 542-8018

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
Mrs. Adrienne Dunlap Lane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4109
Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Solim Tchedre, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Randolph Rd Ste 800, Charlotte, NC 28207 Phone: 704-384-1246 Fax: 704-384-6072

Mrs Serena Lee Weidner, NP-C - Medicare Nurse Practitioner in Charlotte, NC