Kaitlin Renae Carlisle, is a medicare enrolled "Physician Assistant" in Fairfax Station, Virginia. Her current practice location is
8416 Westpointe Dr, Fairfax Station, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 717-8669.
Kaitlin Renae Carlisle is licensed to practice in * (Not Available) (license number ) 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 1588336697.
Provider's Profile
| Full Name | Kaitlin Renae Carlisle |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 8416 Westpointe Dr, Fairfax Station, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kaitlin Renae Carlisle attended and graduated from in
NPI Data:
- NPI Number: 1588336697
- Provider Enumeration Date: 09/28/2021
- Last Update Date: 12/11/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kaitlin Renae Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588336697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | 4269 (South Carolina) | Secondary |
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 Renae Carlisle 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 Renae Carlisle,
8416 Westpointe Dr,
Fairfax Station, VA 22039-2670
Ph: (703) 717-8669 | Kaitlin Renae Carlisle,
8416 Westpointe Dr,
Fairfax Station, VA 22039-2670
Ph: (703) 717-8669 |
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