Kaitlin Coltharp, PA-C is a medicare enrolled "Physician Assistant" in Tuscola, Illinois. Her current practice location is
1100 Tuscola Blvd, Tuscola, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 253-4764.
Kaitlin Coltharp is licensed to practice in Illinois (license number 085-009254) 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 1902528276.
Provider's Profile
Full Name | Kaitlin Coltharp |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1100 Tuscola Blvd, Tuscola, Illinois |
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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: 1902528276
- Provider Enumeration Date: 09/14/2022
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587033568
- Enrollment ID: I20221214000538
Medical Identifiers
Medical identifiers for Kaitlin Coltharp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902528276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085-009254 (Illinois) | 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. Kaitlin Coltharp 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 |
Kaitlin Coltharp, PA-C Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Kaitlin Coltharp, PA-C 1100 Tuscola Blvd, Tuscola, IL 61953-2065 Ph: (217) 253-4764 |
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