Kaitlin Paige Gresham, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Red Bay, Alabama. Her current practice location is
399 5th St Se, Red Bay, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 376-2036.
Kaitlin Paige Gresham is licensed to practice in Alabama (license number 1-179637) 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 1316527682.
Provider's Profile
Full Name | Kaitlin Paige Gresham |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 399 5th St Se, Red Bay, Alabama |
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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: 1316527682
- Provider Enumeration Date: 04/12/2021
- Last Update Date: 09/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719351246
- Enrollment ID: I20230323000178
Medical Identifiers
Medical identifiers for Kaitlin Paige Gresham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316527682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1-179637 (Alabama) | 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. Kaitlin Paige Gresham allows following entities to bill medicare on her behalf.
Entity Name | Bay Health & Wellness, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760028864 PECOS PAC ID: 0345675112 Enrollment ID: O20200124001559 |
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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 Paige Gresham 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 Paige Gresham, CRNP 399 5th St Se, Red Bay, AL 35582-4192 Ph: (256) 376-2036 | Kaitlin Paige Gresham, CRNP 399 5th St Se, Red Bay, AL 35582-4192 Ph: (256) 376-2036 |
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