Wyatt Ethan Knapp, NP in Carlsbad, CA - Medicare Nurse Practitioner

Wyatt Ethan Knapp, NP is a medicare enrolled "Nurse Practitioner - Family" in Carlsbad, California. His current practice location is 2176 Salk Ave Ste 200, Carlsbad, California. You can reach out to his office (for appointments etc.) via phone at (760) 827-7200.

Wyatt Ethan Knapp is licensed to practice in California (license number 95017985) 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 1447925615.

Contact Information

	Wyatt Ethan Knapp, NP
	2176 Salk Ave Ste 200, Carlsbad, CA 92008-7346
	(760) 827-7200
	Not Available

Map and Direction

Provider's Profile

Full Name	Wyatt Ethan Knapp
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2176 Salk Ave Ste 200, Carlsbad, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447925615
Provider Enumeration Date: 08/10/2021
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 9234528282
Enrollment ID: I20211111002508

Medical Identifiers

Medical identifiers for Wyatt Ethan Knapp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447925615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95017985 (California)	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. Wyatt Ethan Knapp allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Wyatt Ethan Knapp 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
Wyatt Ethan Knapp, NP 2176 Salk Ave Ste 200, Carlsbad, CA 92008-7346 Ph: (760) 827-7200	Wyatt Ethan Knapp, NP 2176 Salk Ave Ste 200, Carlsbad, CA 92008-7346 Ph: (760) 827-7200

Reviews and Comments

Nurse Practitioner Nurses in Carlsbad, CA

Daniela Hijin Kim Shon, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 El Camino Real, Carlsbad, CA 92008 Phone: 760-729-8941
Catherine R. O'neill-conover, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3445 Camino Alegre, Carlsbad, CA 92009 Phone: 760-942-2793
Lisa Bertotti, RN-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2605 Carlsbad Blvd, Carlsbad, CA 92008 Phone: 760-547-5215 Fax: 760-720-2349
Emaka Takashima, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5838 Edison Pl Ste 100, Carlsbad, CA 92008 Phone: 800-275-3243
Nicole O'donnell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7740 Rancho Santa Fe Rd, Carlsbad, CA 92009 Phone: 858-457-4480
Nazly E Reyes, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3010 Villeta Ave, Carlsbad, CA 92010 Phone: 408-824-2115
Amy Milroy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 Carlsbad Village Dr Ste D2, Carlsbad, CA 92008 Phone: 858-779-4325

Wyatt Ethan Knapp, NP - Medicare Nurse Practitioner in Carlsbad, CA