Kellie Faye Gautier, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Daniels, West Virginia. She went to West Virginia University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prompt Care Inc and her current practice location is
1468 Ritter Dr, Daniels, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 253-3860.
Kellie Faye Gautier is licensed to practice in West Virginia (license number 73240) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215219902.
Provider's Profile
| Full Name | Kellie Faye Gautier |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 1468 Ritter Dr, Daniels, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kellie Faye Gautier attended and graduated from West Virginia University School Of Medicine in 2011
NPI Data:
- NPI Number: 1215219902
- Provider Enumeration Date: 09/19/2011
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597939595
- Enrollment ID: I20111130000547
Medical Identifiers
Medical identifiers for Kellie Faye Gautier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215219902 | NPI | - | NPPES |
| 3810021842 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 73240 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Prompt Care Inc | 2567693997 | 6 |
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. Kellie Faye Gautier allows following entities to bill medicare on her behalf.
| Entity Name | Medexpress Urgent Care Inc West Virginia |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912133315
PECOS PAC ID: 1254487101
Enrollment ID: O20090918000219 |
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| Entity Name | Prompt Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790115848
PECOS PAC ID: 2567693997
Enrollment ID: O20140327000670 |
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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. Kellie Faye Gautier 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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Kellie Faye Gautier, FNP-BC
330 Cedarcrest Dr,
Shady Spring, WV 25918-8541
Ph: (304) 890-8987 | Kellie Faye Gautier, FNP-BC
1468 Ritter Dr,
Daniels, WV 25832-9356
Ph: (304) 253-3860 |
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