Caitlin M Stathopoulos, APRN is a medicare enrolled "Nurse Practitioner" physician in Medina, Ohio. Her current practice location is
970 E Washington St, Medina, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 721-5700.
Caitlin M Stathopoulos is licensed to practice in Ohio (license number 0030692) 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 1477296010.
Physician's Profile
| Full Name | Caitlin M Stathopoulos |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 970 E Washington St, Medina, Ohio |
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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: 1477296010
- Provider Enumeration Date: 04/20/2022
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214314608
- Enrollment ID: I20220525000749
Medical Identifiers
Medical identifiers for Caitlin M Stathopoulos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477296010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 0030692 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0030692 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | 0030692 (Ohio) | 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. Caitlin M Stathopoulos allows following entities to bill medicare on her behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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| Entity Name | Milltown Family Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598975831
PECOS PAC ID: 5496891749
Enrollment ID: O20090930000324 |
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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. Caitlin M Stathopoulos 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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Caitlin M Stathopoulos, APRN
970 E Washington St,
Medina, OH 44256-3332
Ph: (330) 721-5700 | Caitlin M Stathopoulos, APRN
970 E Washington St,
Medina, OH 44256-3332
Ph: (330) 721-5700 |
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