Kathalene Antoinette Nottingham, is a medicare enrolled "Nurse Practitioner - Family" in Saint Albans, West Virginia. Her current practice location is
987 Elliot St, Saint Albans, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 982-2104.
Kathalene Antoinette Nottingham is licensed to practice in West Virginia (license number 08781) 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 1447924469.
Provider's Profile
Full Name | Kathalene Antoinette Nottingham |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 987 Elliot St, Saint Albans, West Virginia |
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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: 1447924469
- Provider Enumeration Date: 08/03/2021
- Last Update Date: 09/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577935501
- Enrollment ID: I20230221000261
Medical Identifiers
Medical identifiers for Kathalene Antoinette Nottingham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447924469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 08781 (West Virginia) | 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. Kathalene Antoinette Nottingham allows following entities to bill medicare on her behalf.
Entity Name | South Charleston Cardiology Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770706772 PECOS PAC ID: 1759376916 Enrollment ID: O20040416001238 |
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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. Kathalene Antoinette Nottingham 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 |
Kathalene Antoinette Nottingham, 987 Elliot St, Saint Albans, WV 25177-3980 Ph: () - | Kathalene Antoinette Nottingham, 987 Elliot St, Saint Albans, WV 25177-3980 Ph: (304) 982-2104 |
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