Katy L Mccleery, DO is a medicare enrolled "Dermatology" physician in Joint Base Lewis Mcchord, Washington. Her current practice location is
9040a Jackson Ave, Joint Base Lewis Mcchord, Washington. You can reach out to her office (for appointments etc.) via phone at
(402) 670-0611.
Katy L Mccleery is licensed to practice in Washington (license number OP61117304) 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 1073965851.
Physician's Profile
| Full Name | Katy L Mccleery |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 9040a Jackson Ave, Joint Base Lewis Mcchord, Washington |
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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: 1073965851
- Provider Enumeration Date: 07/06/2016
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002252947
- Enrollment ID: I20240313002844
Medical Identifiers
Medical identifiers for Katy L Mccleery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073965851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 1771 (Nebraska) | Secondary |
| 207N00000X | Dermatology | 88717 (Montana) | Secondary |
| 208D00000X | General Practice | 1771 (Nebraska) | Secondary |
| 207N00000X | Dermatology | OP61117304 (Washington) | 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. Katy L Mccleery allows following entities to bill medicare on her behalf.
| Entity Name | Highline Dermatology And Skin Cancer, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558831289
PECOS PAC ID: 0749529055
Enrollment ID: O20190305000502 |
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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. Katy L Mccleery 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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Katy L Mccleery, DO
6248 W Sarazen St Se,
Olympia, WA 98513-8312
Ph: (402) 670-0611 | Katy L Mccleery, DO
9040a Jackson Ave,
Joint Base Lewis Mcchord, WA 98431-5638
Ph: (402) 670-0611 |
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