Kristan M Outwater, MD in Brattleboro, VT

Kristan M Outwater, MD is a medicare enrolled "Pediatrics" physician in Brattleboro, Vermont. Her current practice location is 21 Belmont Ave, Brattleboro, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 258-3905.

Kristan M Outwater is licensed to practice in Vermont (license number 042-0012623) 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 1306952890.

Contact Information

	Kristan M Outwater, MD
	21 Belmont Ave, Brattleboro, VT 05301-7110
	(802) 258-3905
	(802) 258-4903

Map and Direction

Physician's Profile

Full Name	Kristan M Outwater
Gender	Female
Speciality	Pediatrics
Location	21 Belmont Ave, Brattleboro, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306952890
Provider Enumeration Date: 08/21/2006
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4587610472
Enrollment ID: I20130723001024

Medical Identifiers

Medical identifiers for Kristan M Outwater such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306952890	NPI	-	NPPES
71020000730099	Other	MI	BCBS OF MI
3067291	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	4301064412 (Michigan)	Secondary
208000000X	Pediatrics	042-0012623 (Vermont)	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. Kristan M Outwater allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Health Partners - Vermont Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285687616 PECOS PAC ID: 7810896032 Enrollment ID: O20040205000572

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. Kristan M Outwater 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
Kristan M Outwater, MD 600 Blair Park Rd Ste 285, Williston, VT 05495-7586 Ph: (802) 288-1140	Kristan M Outwater, MD 21 Belmont Ave, Brattleboro, VT 05301-7110 Ph: (802) 258-3905

Reviews and Comments

Pediatrics Doctors in Brattleboro, VT

Jane Katz Field, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16 Belmont Ave, Just So Pediatrics, Brattleboro, VT 05301 Phone: 802-254-2253
Lynn W Herzog, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Belmont Ave, Brattleboro, VT 05301 Phone: 802-258-3905 Fax: 802-258-4903
Dr. Kelle Rae Shutter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 21 Belmont Ave, Brattleboro, VT 05301 Phone: 802-258-3905 Fax: 802-258-4903
Carol R Boyes, PA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Belmont Ave, Brattleboro, VT 05301 Phone: 802-228-3905 Fax: 802-258-4903
Emily M Kolpa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 21 Belmont Ave, Brattleboro, VT 05301 Phone: 802-258-3905 Fax: 802-258-4903
Robert D Nassau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21 Belmont Ave, Brattleboro, VT 05301 Phone: 802-258-3905 Fax: 802-258-4903

Kristan M Outwater, MD - Medicare Pediatrics in Brattleboro, VT