Katelyn Brooke Cleous, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Poplar Bluff, Missouri. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Big Springs Medical Association, Honour Brite Llc and her current practice location is
2210 Barron Rd Ste 120, Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 785-6536.
Katelyn Brooke Cleous is licensed to practice in Missouri (license number 2020033726) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386230449.
Physician's Profile
| Full Name | Katelyn Brooke Cleous |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 2210 Barron Rd Ste 120, Poplar Bluff, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katelyn Brooke Cleous graduated from medical school in 2020
NPI Data:
- NPI Number: 1386230449
- Provider Enumeration Date: 12/14/2020
- Last Update Date: 08/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153733084
- Enrollment ID: I20201216002863
Medical Identifiers
Medical identifiers for Katelyn Brooke Cleous such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386230449 | NPI | - | NPPES |
| 420091370 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2020033726 (Missouri) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2020033726 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2020033726 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Big Springs Medical Association | 6709871007 | 42 |
| Honour Brite Llc | 3971864588 | 31 |
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. Katelyn Brooke Cleous allows following entities to bill medicare on her behalf.
| Entity Name | Big Springs Medical Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225045321
PECOS PAC ID: 6709871007
Enrollment ID: O20040416000695 |
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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. Katelyn Brooke Cleous 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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Katelyn Brooke Cleous, NP
2210 Barron Rd Ste 120,
Poplar Bluff, MO 63901-1922
Ph: (573) 785-6536 | Katelyn Brooke Cleous, NP
2210 Barron Rd Ste 120,
Poplar Bluff, MO 63901-1922
Ph: (573) 785-6536 |
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