Kacie M Brown, is a medicare enrolled "Physician Assistant" in Grand Forks Afb, North Dakota. Her current practice location is
1113 Korina Ave Unit A, Grand Forks Afb, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(614) 499-7950.
Kacie M Brown is licensed to practice in * (Not Available) (license number ) 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 1174895833.
Provider's Profile
| Full Name | Kacie M Brown |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1113 Korina Ave Unit A, Grand Forks Afb, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174895833
- Provider Enumeration Date: 01/27/2012
- Last Update Date: 01/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 4688993470
- Enrollment ID: I20150429000259
Medical Identifiers
Medical identifiers for Kacie M Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174895833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Kacie M Brown 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 |
|---|
Kacie M Brown,
1113 Korina Ave Unit A,
Grand Forks Afb, ND 58204-1378
Ph: (614) 499-7950 | Kacie M Brown,
1113 Korina Ave Unit A,
Grand Forks Afb, ND 58204-1378
Ph: (614) 499-7950 |
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