Kaitlin Spangler, CNM is a medicare enrolled "Advanced Practice Midwife" in Pismo Beach, California. Her current practice location is
2 James Way Ste 106, Pismo Beach, California. You can reach out to her office (for appointments etc.) via phone at
(805) 773-3060.
Kaitlin Spangler is licensed to practice in California (license number 235644) 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 1881013076.
Provider's Profile
| Full Name | Kaitlin Spangler |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 2 James Way Ste 106, Pismo Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881013076
- Provider Enumeration Date: 04/15/2014
- Last Update Date: 05/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890045678
- Enrollment ID: I20180829002867
Medical Identifiers
Medical identifiers for Kaitlin Spangler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881013076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 235644 (California) | 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 Spangler allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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 Spangler 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 |
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Kaitlin Spangler, CNM
2 James Way Ste 106,
Pismo Beach, CA 93449-4974
Ph: (805) 773-3060 | Kaitlin Spangler, CNM
2 James Way Ste 106,
Pismo Beach, CA 93449-4974
Ph: (805) 773-3060 |
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