Katie Flickinger, is a medicare enrolled "Nurse Practitioner - Family" physician in Siletz, Oregon. Her current practice location is
200 Gwee Shut Rd, Siletz, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 444-1030.
Katie Flickinger is licensed to practice in Arizona (license number 247118) 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 1982142998.
Physician's Profile
| Full Name | Katie Flickinger |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 200 Gwee Shut Rd, Siletz, Oregon |
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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: 1982142998
- Provider Enumeration Date: 02/09/2017
- Last Update Date: 12/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800272691
- Enrollment ID: I20220930003045
Medical Identifiers
Medical identifiers for Katie Flickinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982142998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 247118 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 247118 (Arizona) | Primary |
| 163W00000X | Registered Nurse | RN182485 (Arizona) | Secondary |
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. Katie Flickinger allows following entities to bill medicare on her behalf.
| Entity Name | The Little Clinic Of Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023216249
PECOS PAC ID: 4981797982
Enrollment ID: O20070907000182 |
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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. Katie Flickinger 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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Katie Flickinger,
1109 N Willow St,
Chandler, AZ 85226-7235
Ph: (480) 332-7756 | Katie Flickinger,
200 Gwee Shut Rd,
Siletz, OR 97380-2036
Ph: (541) 444-1030 |
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