Kathy Lynn Nesselrode, A-GNP is a medicare enrolled "Nurse Practitioner" in Avinger, Texas. Her current practice location is
3438 County Road 1626, Avinger, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 665-0052.
Kathy Lynn Nesselrode is licensed to practice in Texas (license number 1029235) 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 1689269748.
Provider's Profile
| Full Name | Kathy Lynn Nesselrode |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 3438 County Road 1626, Avinger, Texas |
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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: 1689269748
- Provider Enumeration Date: 03/01/2021
- Last Update Date: 03/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264735489
- Enrollment ID: I20210510000716
Medical Identifiers
Medical identifiers for Kathy Lynn Nesselrode such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689269748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 1029235 (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. Kathy Lynn Nesselrode allows following entities to bill medicare on her behalf.
| Entity Name | Winnsboro Health Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154717536
PECOS PAC ID: 2668784083
Enrollment ID: O20150626001660 |
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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. Kathy Lynn Nesselrode 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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Kathy Lynn Nesselrode, A-GNP
3438 County Road 1626,
Avinger, TX 75630-3440
Ph: (903) 665-0052 | Kathy Lynn Nesselrode, A-GNP
3438 County Road 1626,
Avinger, TX 75630-3440
Ph: (903) 665-0052 |
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