Katrina Lynn Bailey Kieffer, RDN, PA-C is a medicare enrolled "Physician Assistant" provider in Madison, Wisconsin. Her current practice location is
1218 S Midvale Blvd Apt D, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(719) 431-0253.
Katrina Lynn Bailey Kieffer is licensed to practice in Wisconsin (license number 1185355) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669041133.
Healthcare Provider's Profile
Full Name | Katrina Lynn Bailey Kieffer |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1218 S Midvale Blvd Apt D, Madison, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669041133
- Provider Enumeration Date: 06/21/2021
- Last Update Date: 06/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052709300
- Enrollment ID: I20211103000911
Medical Identifiers
Medical identifiers for Katrina Lynn Bailey Kieffer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669041133 | NPI | - | NPPES |
86096825 | Other | CO | REGISTERED DIETITIAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86096825 (Colorado) | Secondary |
363A00000X | Physician Assistant | 1185355 (Wisconsin) | Primary |
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. Katrina Lynn Bailey Kieffer 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 |
Katrina Lynn Bailey Kieffer, RDN, PA-C 1218 S Midvale Blvd Apt D, Madison, WI 53711-2864 Ph: (719) 431-0253 | Katrina Lynn Bailey Kieffer, RDN, PA-C 1218 S Midvale Blvd Apt D, Madison, WI 53711-2864 Ph: (719) 431-0253 |
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