Dr Kathryn Marie Stevenson, MD is a medicare enrolled "Pediatrics" physician in Gardnerville, Nevada. Her current practice location is
1107 Us Highway 395 N, Gardnerville, Nevada. You can reach out to her office (for appointments etc.) via phone at
(775) 782-1695.
Dr Kathryn Marie Stevenson is licensed to practice in Nevada (license number 10544) 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 1427055086.
Physician's Profile
| Full Name | Dr Kathryn Marie Stevenson |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1107 Us Highway 395 N, Gardnerville, Nevada |
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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: 1427055086
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 12/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012957814
- Enrollment ID: I20101027000319
Medical Identifiers
Medical identifiers for Dr Kathryn Marie Stevenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427055086 | NPI | - | NPPES |
| 100505467 | Medicaid | NV | |
| 100506479 | Medicaid | NV | |
| XPY202245 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 10544 (Nevada) | 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. Dr Kathryn Marie Stevenson allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Dr Kathryn Marie Stevenson 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 |
|---|
Dr Kathryn Marie Stevenson, MD
1111 Emerald Bay Rd,
South Lake Tahoe, CA 96150-6207
Ph: (530) 543-5979 | Dr Kathryn Marie Stevenson, MD
1107 Us Highway 395 N,
Gardnerville, NV 89410-5304
Ph: (775) 782-1695 |
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