Kaily Saltaformaggio, is a medicare enrolled "Nurse Practitioner - Family" in Kemah, Texas. Her current practice location is
702 E Shore Dr, Kemah, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 561-5986.
Kaily Saltaformaggio is licensed to practice in Texas (license number 1152878) 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 1356101620.
Provider's Profile
| Full Name | Kaily Saltaformaggio |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 702 E Shore Dr, Kemah, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1356101620
- Provider Enumeration Date: 03/21/2024
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739528654
- Enrollment ID: I20240411002447
Medical Identifiers
Medical identifiers for Kaily Saltaformaggio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356101620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 1152878 (Texas) | 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. Kaily Saltaformaggio allows following entities to bill medicare on her behalf.
| Entity Name | Utmb Faculty Group Practice |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1942241146
PECOS PAC ID: 3375456734
Enrollment ID: O20031112000438 |
|---|
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. Kaily Saltaformaggio 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 |
|---|
Kaily Saltaformaggio,
702 E Shore Dr,
Kemah, TX 77565-2519
Ph: (832) 561-5986 | Kaily Saltaformaggio,
702 E Shore Dr,
Kemah, TX 77565-2519
Ph: (832) 561-5986 |
Reviews and Comments