Mrs Kathleen Jane Layman, NP is a medicare enrolled "Nurse Practitioner" physician in Carrollton, Georgia. Her current practice location is
705 Dixie St, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 836-9508.
Mrs Kathleen Jane Layman is licensed to practice in Georgia (license number RN184062) 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 1881113173.
Physician's Profile
Full Name | Mrs Kathleen Jane Layman |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 705 Dixie St, Carrollton, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881113173
- Provider Enumeration Date: 09/18/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496014391
- Enrollment ID: I20180123001613
Medical Identifiers
Medical identifiers for Mrs Kathleen Jane Layman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881113173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | RN184062 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN184062 (Georgia) | 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. Mrs Kathleen Jane Layman allows following entities to bill medicare on her behalf.
Entity Name | Georgia Em-i Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285682583 PECOS PAC ID: 0446157218 Enrollment ID: O20031218000621 |
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Entity Name | Carrollton Emergency Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790724672 PECOS PAC ID: 7416860010 Enrollment ID: O20040122001028 |
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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. Mrs Kathleen Jane Layman 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 Kathleen Jane Layman, NP 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 616-0335 | Mrs Kathleen Jane Layman, NP 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 836-9508 |
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