Kathryn R Waitman, DNP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Cottonwood, Arizona. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Billings Clinic, Billings Clinic, Multicare Health System and her current practice location is
269 S Candy Ln, Cottonwood, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 204-4170.
Kathryn R Waitman is licensed to practice in Arizona (license number AP2032) 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 1881755528.
Physician's Profile
| Full Name | Kathryn R Waitman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 269 S Candy Ln, Cottonwood, Arizona |
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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:
- Kathryn R Waitman graduated from medical school in 2010
NPI Data:
- NPI Number: 1881755528
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 09/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416919451
- Enrollment ID: I20051006000587
Medical Identifiers
Medical identifiers for Kathryn R Waitman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881755528 | NPI | - | NPPES |
| RN130067 | Other | AZ | RN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | RN130067 (Arizona) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 100236 (Montana) | Secondary |
| 363L00000X | Nurse Practitioner | 9170 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | NUR-RN-LIC-21546 (Montana) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | AP2032 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Billings Clinic | 6002993516 | 677 |
| Billings Clinic | 6002993516 | 677 |
| Multicare Health System | 7719899897 | 1689 |
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. Kathryn R Waitman allows following entities to bill medicare on her behalf.
| Entity Name | Billings Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245397041
PECOS PAC ID: 6002993516
Enrollment ID: O20080424000084 |
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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. Kathryn R Waitman 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 |
|---|
Kathryn R Waitman, DNP
1200 N Beaver St,
Flagstaff, AZ 86001-3118
Ph: (928) 213-6235 | Kathryn R Waitman, DNP
269 S Candy Ln,
Cottonwood, AZ 86326-4158
Ph: (928) 204-4170 |
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