Kathryn Emily Bynum, is a medicare enrolled "Nurse Practitioner - Family" in Portola, California. Her current practice location is
480 1st Ave, Portola, California. You can reach out to her office (for appointments etc.) via phone at
(530) 832-6600.
Kathryn Emily Bynum is licensed to practice in California (license number NP95020984) 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 1659002665.
Provider's Profile
| Full Name | Kathryn Emily Bynum |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 480 1st Ave, Portola, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1659002665
- Provider Enumeration Date: 06/21/2022
- Last Update Date: 06/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325424351
- Enrollment ID: I20221214000267
Medical Identifiers
Medical identifiers for Kathryn Emily Bynum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659002665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | NP95020984 (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. Kathryn Emily Bynum allows following entities to bill medicare on her behalf.
| Entity Name | Eastern Plumas Health Care District |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245236850
PECOS PAC ID: 4587576889
Enrollment ID: O20050329001076 |
|---|
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. Kathryn Emily Bynum 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 |
|---|
Kathryn Emily Bynum,
480 1st Ave,
Portola, CA 96122-9405
Ph: () - | Kathryn Emily Bynum,
480 1st Ave,
Portola, CA 96122-9405
Ph: (530) 832-6600 |
Reviews and Comments