Dr Kaitlin Phelan, in San Diego, CA - Medicare Nurse Practitioner

Dr Kaitlin Phelan, is a medicare enrolled "Nurse Practitioner - Pediatrics" in San Diego, California. Her current practice location is 6475 Alvarado Rd Ste 120, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 583-6133.

Dr Kaitlin Phelan is licensed to practice in California (license number 95017926) 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 1164195053.

Contact Information

	Dr Kaitlin Phelan,
	6475 Alvarado Rd Ste 120, San Diego, CA 92120-5007
	(619) 583-6133
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kaitlin Phelan
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	6475 Alvarado Rd Ste 120, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164195053
Provider Enumeration Date: 07/27/2021
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 1850796491
Enrollment ID: I20210820000375

Medical Identifiers

Medical identifiers for Dr Kaitlin Phelan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164195053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95017926 (California)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	95017926 (California)	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. Dr Kaitlin Phelan allows following entities to bill medicare on her behalf.

Entity Name	Sharp Rees-stealy Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996

Entity Name	Molina Healthcare Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348

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. Dr Kaitlin Phelan 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
Dr Kaitlin Phelan, 9366 Redwood Dr Apt B, La Jolla, CA 92037-1514 Ph: (303) 257-8902	Dr Kaitlin Phelan, 6475 Alvarado Rd Ste 120, San Diego, CA 92120-5007 Ph: (619) 583-6133

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910
Susan Kermoian Yaszay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Gateway Center Way, San Diego, CA 92102 Phone: 619-515-2300 Fax: 619-232-1360
Dale Michael Trujillo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Amina Michelle Heise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8110 Birmingham Way Bldg 28, 2nd Floor, San Diego, CA 92123 Phone: 858-966-4003 Fax: 858-560-6798
Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Dr Kaitlin Phelan, - Medicare Nurse Practitioner in San Diego, CA