Kaitlin Etzcorn, NP-C in Fort Wayne, IN - Medicare Nurse Practitioner

Kaitlin Etzcorn, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Orthopaedics Northeast Pc and her current practice location is 5050 N Clinton St, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 484-8551.

Kaitlin Etzcorn is licensed to practice in Indiana (license number 71011071A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972106847.

Contact Information

	Kaitlin Etzcorn, NP-C
	5050 N Clinton St, Fort Wayne, IN 46825-5886
	(260) 484-8551
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaitlin Etzcorn
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	5050 N Clinton St, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kaitlin Etzcorn graduated from nursing school in 2020

NPI Data:

NPI Number: 1972106847
Provider Enumeration Date: 11/20/2020
Last Update Date: 08/13/2021

Medicare PECOS Information:

PECOS PAC ID: 2961811815
Enrollment ID: I20210506000860

Medical Identifiers

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

Identifier	Type	State	Issuer
1972106847	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WX0800X	Registered Nurse - Orthopedic	28197283A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71011071A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopaedics Northeast Pc	9234024878	70

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. Kaitlin Etzcorn allows following entities to bill medicare on her behalf.

Entity Name	Orthopaedics Northeast Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740268796 PECOS PAC ID: 9234024878 Enrollment ID: O20040405001087

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 Etzcorn 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 Etzcorn, NP-C 10227 Greenmoor Dr, New Haven, IN 46774-2287 Ph: (260) 602-7795	Kaitlin Etzcorn, NP-C 5050 N Clinton St, Fort Wayne, IN 46825-5886 Ph: (260) 484-8551

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Kaitlin Etzcorn, NP-C - Medicare Nurse Practitioner in Fort Wayne, IN