Natalie Nicole Kretzer, PA-C, RD is a medicare enrolled "Physician Assistant" provider in Charlottesville, Virginia. Her current practice location is
500 Martha Jefferson Dr, Mb #g236, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 654-7580.
Natalie Nicole Kretzer is licensed to practice in Virginia (license number 011004742) 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 1972883429.
Healthcare Provider's Profile
| Full Name | Natalie Nicole Kretzer |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 500 Martha Jefferson Dr, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972883429
- Provider Enumeration Date: 08/27/2011
- Last Update Date: 11/30/2016
Medicare PECOS Information:
- PECOS PAC ID: 4284956491
- Enrollment ID: I20200310002569
Medical Identifiers
Medical identifiers for Natalie Nicole Kretzer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972883429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 011004742 (Virginia) | 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. Natalie Nicole Kretzer 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 |
|---|
Natalie Nicole Kretzer, PA-C, RD
Po Box 79777,
Baltimore, MD 21279-0777
Ph: (434) 654-7794 | Natalie Nicole Kretzer, PA-C, RD
500 Martha Jefferson Dr, Mb #g236,
Charlottesville, VA 22911-4668
Ph: (434) 654-7580 |
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