Mrs Katie Elise Sewell, CRNP is a medicare enrolled "Nurse Practitioner" physician in Fort Payne, Alabama. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Renew Family Dermatology and her current practice location is
212 Airport Road W, Fort Payne, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 979-1250.
Mrs Katie Elise Sewell is licensed to practice in Alabama (license number 1-143791) 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 1013413764.
Physician's Profile
| Full Name | Mrs Katie Elise Sewell |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 7 Years |
|---|
| Location | 212 Airport Road W, Fort Payne, Alabama |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mrs Katie Elise Sewell graduated from medical school in 2017
NPI Data:
- NPI Number: 1013413764
- Provider Enumeration Date: 04/02/2018
- Last Update Date: 06/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880021682
- Enrollment ID: I20200217000564
Medical Identifiers
Medical identifiers for Mrs Katie Elise Sewell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013413764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 1-143791 (Alabama) | Secondary |
| 363L00000X | Nurse Practitioner | 1-143791 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Renew Family Dermatology | 2466789839 | 6 |
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. Mrs Katie Elise Sewell allows following entities to bill medicare on her behalf.
| Entity Name | Go Medical Corporation, Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073027876
PECOS PAC ID: 0648534982
Enrollment ID: O20180514001122 |
|---|
| Entity Name | Renew Family Dermatology |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1275198913
PECOS PAC ID: 2466789839
Enrollment ID: O20190807002884 |
|---|
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. Mrs Katie Elise Sewell 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 |
|---|
Mrs Katie Elise Sewell, CRNP
Po Box 680256,
Fort Payne, AL 35968-1603
Ph: (256) 979-1250 | Mrs Katie Elise Sewell, CRNP
212 Airport Road W,
Fort Payne, AL 35968
Ph: (256) 979-1250 |
Reviews and Comments