Ms Kim R Martin-widawsky, ANPC is a medicare enrolled "Nurse Practitioner - Adult Health" in Allendale, New Jersey. She graduated from nursing school in 1986 and has 38 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Robert Wood Johnson Medical Associates At Hamilton Pa and her current practice location is
77 W Maple Ave, Allendale, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 394-3329.
Ms Kim R Martin-widawsky is licensed to practice in New York (license number 300344) 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 1053484147.
Provider's Profile
| Full Name | Ms Kim R Martin-widawsky |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 38 Years |
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| Location | 77 W Maple Ave, Allendale, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kim R Martin-widawsky graduated from nursing school in 1986
NPI Data:
- NPI Number: 1053484147
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991070542
- Enrollment ID: I20171026000077
Medical Identifiers
Medical identifiers for Ms Kim R Martin-widawsky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053484147 | NPI | - | NPPES |
| 26NN06683300 | Other | NJ | ADVANCE PRACTICE NURSE |
| 300344 | Other | NY | RN ANP LICENSE |
| F300344-1 | Other | NY | NURSE PRACTITIONER IN ADULT HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WX0106X | Registered Nurse - Occupational Health | 26NN06683300 (New Jersey) | Secondary |
| 163WX0106X | Registered Nurse - Occupational Health | 300344 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 26NN06683300 (New Jersey) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 300344 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Robert Wood Johnson Medical Associates At Hamilton Pa | 6204805419 | 33 |
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. Ms Kim R Martin-widawsky allows following entities to bill medicare on her behalf.
| Entity Name | Robert Wood Johnson Medical Associates At Hamilton Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619206828
PECOS PAC ID: 6204805419
Enrollment ID: O20040924000847 |
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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. Ms Kim R Martin-widawsky 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 |
|---|
Ms Kim R Martin-widawsky, ANPC
Po Box 625,
Allendale, NJ 07401-0625
Ph: (201) 394-3329 | Ms Kim R Martin-widawsky, ANPC
77 W Maple Ave,
Allendale, NJ 07401-1206
Ph: (201) 394-3329 |
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