Nicole Amy Wetherholt, PA-C is a medicare enrolled "Physician Assistant" in Joshua Tree, California. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Palm Valley Multi-specialty Medical Group Pc and her current practice location is
6601 White Feather Rd, Joshua Tree, California. You can reach out to her office (for appointments etc.) via phone at
(760) 366-3711.
Nicole Amy Wetherholt is licensed to practice in California (license number PA20731) 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 1902129521.
Provider's Profile
| Full Name | Nicole Amy Wetherholt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 17 Years |
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| Location | 6601 White Feather Rd, Joshua Tree, California |
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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:
- Nicole Amy Wetherholt graduated from nursing school in 2009
NPI Data:
- NPI Number: 1902129521
- Provider Enumeration Date: 03/10/2010
- Last Update Date: 02/23/2013
Medicare PECOS Information:
- PECOS PAC ID: 4082630835
- Enrollment ID: I20111101000330
Medical Identifiers
Medical identifiers for Nicole Amy Wetherholt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902129521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA20731 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Palm Valley Multi-specialty Medical Group Pc | 8628412418 | 17 |
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. Nicole Amy Wetherholt allows following entities to bill medicare on her behalf.
| Entity Name | Executive Urgent Care Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124796362
PECOS PAC ID: 8628454824
Enrollment ID: O20220926000694 |
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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. Nicole Amy Wetherholt 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 |
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Nicole Amy Wetherholt, PA-C
1259 Berylstone Dr,
Hemet, CA 92545-2183
Ph: (951) 487-1713 | Nicole Amy Wetherholt, PA-C
6601 White Feather Rd,
Joshua Tree, CA 92252-6607
Ph: (760) 366-3711 |
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