Autum Clark Coots, in Rainsville, AL - Medicare Nurse Practitioner

Autum Clark Coots, is a medicare enrolled "Nurse Practitioner - Family" in Rainsville, Alabama. Her current practice location is 56 Hillcrest Dr, Rainsville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 677-5115.

Autum Clark Coots is licensed to practice in Alabama (license number 1-170975) 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 1386408904.

Contact Information

	Autum Clark Coots,
	56 Hillcrest Dr, Rainsville, AL 35986-6060
	(256) 677-5115
	Not Available

Map and Direction

Provider's Profile

Full Name	Autum Clark Coots
Gender	Female
Speciality	Nurse Practitioner - Family
Location	56 Hillcrest Dr, Rainsville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386408904
Provider Enumeration Date: 02/13/2024
Last Update Date: 02/13/2024

Medicare PECOS Information:

PECOS PAC ID: 0941641237
Enrollment ID: I20240517001238

Medical Identifiers

Medical identifiers for Autum Clark Coots such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386408904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-170975 (Alabama)	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. Autum Clark Coots allows following entities to bill medicare on her behalf.

Entity Name	Dekalb Urgent Care And Wellness Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073150306 PECOS PAC ID: 4880022508 Enrollment ID: O20200311002666

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. Autum Clark Coots 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
Autum Clark Coots, 56 Hillcrest Dr, Rainsville, AL 35986-6060 Ph: (256) 677-5115	Autum Clark Coots, 56 Hillcrest Dr, Rainsville, AL 35986-6060 Ph: (256) 677-5115

Reviews and Comments

Nurse Practitioner Nurses in Rainsville, AL

Savanna Joy Desantis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Mccurdy Ave S, Rainsville, AL 35986 Phone: 256-638-9161
Victoriana Lopez Kelley, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 795 George Wallace Dr W, Rainsville, AL 35986 Phone: 601-590-3006
Mrs. Kimberly Pope Hughes, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Mccurdy Ave S Ste 6, Rainsville, AL 35986 Phone: 256-638-9161 Fax: 256-638-9164
Dedra L Capps, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Mccurdy Ave South, Suite, Rainsville, AL 35986 Phone: 256-638-9161 Fax: 256-638-9164
Kathryn Ortega, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 829 County Road 514, Rainsville, AL 35986 Phone: 360-909-9095
Abby Gail Cronan, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 504 Mccurdy Ave S Ste 6, Rainsville, AL 35986 Phone: 256-638-9161 Fax: 256-638-9164
Charity Pittman, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 504 Mccurdy Ave S #6, Rainsville, AL 35986 Phone: 256-638-9161

Autum Clark Coots, - Medicare Nurse Practitioner in Rainsville, AL