Kaitlyn Nicole Welch, is a medicare enrolled "Nurse Practitioner - Family" physician in Breckenridge, Texas. Her current practice location is
2802 W Walker St, Breckenridge, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 559-7215.
Kaitlyn Nicole Welch is licensed to practice in Texas (license number 1089089) 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 1124755905.
Physician's Profile
Full Name | Kaitlyn Nicole Welch |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2802 W Walker St, Breckenridge, Texas |
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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: 1124755905
- Provider Enumeration Date: 08/02/2022
- Last Update Date: 07/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234512443
- Enrollment ID: I20220822001807
Medical Identifiers
Medical identifiers for Kaitlyn Nicole Welch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124755905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1089089 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1089089 (Texas) | 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. Kaitlyn Nicole Welch allows following entities to bill medicare on her behalf.
Entity Name | Shackelford County Community Resource Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194804278 PECOS PAC ID: 8628027174 Enrollment ID: O20050121000572 |
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Entity Name | Dcs Medical Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285082768 PECOS PAC ID: 0042507600 Enrollment ID: O20160926000390 |
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Entity Name | Qv Urgent Care Tx Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568098887 PECOS PAC ID: 5395176267 Enrollment ID: O20200508000781 |
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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. Kaitlyn Nicole Welch 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 |
Kaitlyn Nicole Welch, 2802 W Walker St, Breckenridge, TX 76424-4000 Ph: (254) 559-7215 | Kaitlyn Nicole Welch, 2802 W Walker St, Breckenridge, TX 76424-4000 Ph: (254) 559-7215 |
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