Katie Antle, FNP-C in Ecru, MS - Medicare Nurse Practitioner

Katie Antle, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ecru, Mississippi. Her current practice location is 5482 Highway 15 N, Ecru, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 488-8799.

Katie Antle is licensed to practice in Mississippi (license number 906501) 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 1790548311.

Contact Information

	Katie Antle, FNP-C
	5482 Highway 15 N, Ecru, MS 38841-8471
	(662) 488-8799
	Not Available

Map and Direction

Provider's Profile

Full Name	Katie Antle
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5482 Highway 15 N, Ecru, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790548311
Provider Enumeration Date: 02/05/2024
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 3577000389
Enrollment ID: I20240730000228

Medical Identifiers

Medical identifiers for Katie Antle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790548311	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	906501 (Mississippi)	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. Katie Antle allows following entities to bill medicare on her behalf.

Entity Name	Friendship Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275586273 PECOS PAC ID: 0648275024 Enrollment ID: O20060918000250

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. Katie Antle 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
Katie Antle, FNP-C 537 Ford Ave, Guntown, MS 38849-7915 Ph: (662) 822-5117	Katie Antle, FNP-C 5482 Highway 15 N, Ecru, MS 38841-8471 Ph: (662) 488-8799

Reviews and Comments

Nurse Practitioner Nurses in Ecru, MS

Tracey Michelle Foreman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5482 Highway 15 N, Ecru, MS 38841 Phone: 662-488-8799
Allison Miller Bailey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7618 Hwy 15 North, Ecru, MS 38841 Phone: 662-489-6522 Fax: 662-234-4749
Sabrina Davidson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Highway 15 N, Ecru, MS 38841 Phone: 662-488-8799 Fax: 662-488-8729
Megan Springer Howell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799
Jennifer Chism Bolen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799
Paige Sparks, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799

Katie Antle, FNP-C - Medicare Nurse Practitioner in Ecru, MS