Katherine Lynn Erstad, NP is a medicare enrolled "Nurse Practitioner - Family" in Kimberly, Wisconsin. Her current practice location is
520 W 3rd St, Kimberly, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 788-7680.
Katherine Lynn Erstad is licensed to practice in Wisconsin (license number 4894) 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 1497033609.
Provider's Profile
| Full Name | Katherine Lynn Erstad |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 520 W 3rd St, Kimberly, Wisconsin |
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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: 1497033609
- Provider Enumeration Date: 07/22/2011
- Last Update Date: 02/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 6002088531
- Enrollment ID: I20120926000783
Medical Identifiers
Medical identifiers for Katherine Lynn Erstad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497033609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 4894-33 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | TEMP (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4894 (Wisconsin) | 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 Lynn Erstad allows following entities to bill medicare on her behalf.
| Entity Name | Thedacare, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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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. Katherine Lynn Erstad 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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Katherine Lynn Erstad, NP
Po Box 8003,
Appleton, WI 54912-8003
Ph: (920) 996-3200 | Katherine Lynn Erstad, NP
520 W 3rd St,
Kimberly, WI 54136-1300
Ph: (920) 788-7680 |
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