Katie Marbach, RN in Rancho Cucamonga, CA - Medicare Nurse Practitioner

Katie Marbach, RN is a medicare enrolled "Nurse Practitioner - Family" in Rancho Cucamonga, California. Her current practice location is 7365 Carnelian St Ste 240, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at (909) 256-3245.

Katie Marbach is licensed to practice in California (license number 95019579) 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 1366187130.

Contact Information

	Katie Marbach, RN
	7365 Carnelian St Ste 240, Rancho Cucamonga, CA 91730-1136
	(909) 256-3245
	Not Available

Map and Direction

Provider's Profile

Full Name	Katie Marbach
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7365 Carnelian St Ste 240, Rancho Cucamonga, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366187130
Provider Enumeration Date: 05/04/2022
Last Update Date: 10/12/2022

Medicare PECOS Information:

PECOS PAC ID: 5799154829
Enrollment ID: I20221213001520

Medical Identifiers

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

Identifier	Type	State	Issuer
1366187130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	820912 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95019579 (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. Katie Marbach allows following entities to bill medicare on her behalf.

Entity Name	Go Gently Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447889274 PECOS PAC ID: 9931510187 Enrollment ID: O20210331001579

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 Marbach 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 Marbach, RN Po Box 1271, Rancho Cucamonga, CA 91729-1271 Ph: () -	Katie Marbach, RN 7365 Carnelian St Ste 240, Rancho Cucamonga, CA 91730-1136 Ph: (909) 256-3245

Reviews and Comments

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Katie Marbach, RN - Medicare Nurse Practitioner in Rancho Cucamonga, CA