Katherine Ahlstrom, CNM is a medicare enrolled "Advanced Practice Midwife" in Bryan, Texas. Her current practice location is
1301 Memorial Dr, Bryan, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 731-4520.
Katherine Ahlstrom is licensed to practice in Texas (license number 1084428) 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 1467180497.
Provider's Profile
| Full Name | Katherine Ahlstrom |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 1301 Memorial Dr, Bryan, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1467180497
- Provider Enumeration Date: 08/09/2022
- Last Update Date: 09/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264970326
- Enrollment ID: I20240820003260
Medical Identifiers
Medical identifiers for Katherine Ahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467180497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 1084428 (Texas) | 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. Katherine Ahlstrom allows following entities to bill medicare on her behalf.
| Entity Name | Brazos Valley Community Action Agency Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1821185299
PECOS PAC ID: 4284542127
Enrollment ID: O20040708001095 |
|---|
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. Katherine Ahlstrom 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 |
|---|
Katherine Ahlstrom, CNM
1500 University Dr E Ste 100,
College Station, TX 77840-2600
Ph: () - | Katherine Ahlstrom, CNM
1301 Memorial Dr,
Bryan, TX 77802-5205
Ph: (979) 731-4520 |
Reviews and Comments