Katilynn Wyatt Pope, FNP-C in San Diego, CA - Medicare Nurse Practitioner

Katilynn Wyatt Pope, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 1016 Outer Rd, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 429-3733.

Katilynn Wyatt Pope is licensed to practice in California (license number 95023293) 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 1174232748.

Contact Information

	Katilynn Wyatt Pope, FNP-C
	1016 Outer Rd, San Diego, CA 92154-1351
	(619) 429-3733
	Not Available

Map and Direction

Provider's Profile

Full Name	Katilynn Wyatt Pope
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1016 Outer Rd, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174232748
Provider Enumeration Date: 11/22/2022
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 2062882848
Enrollment ID: I20230112001802

Medical Identifiers

Medical identifiers for Katilynn Wyatt Pope such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174232748	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95023293 (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. Katilynn Wyatt Pope allows following entities to bill medicare on her behalf.

Entity Name	Imperial Beach Community Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718351 PECOS PAC ID: 6709867880 Enrollment ID: O20040525001394

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. Katilynn Wyatt Pope 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
Katilynn Wyatt Pope, FNP-C Po Box 459, Imperial Beach, CA 91933-0459 Ph: () -	Katilynn Wyatt Pope, FNP-C 1016 Outer Rd, San Diego, CA 92154-1351 Ph: (619) 429-3733

Reviews and Comments

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Katilynn Wyatt Pope, FNP-C - Medicare Nurse Practitioner in San Diego, CA