Kierstyn Gates, FNP-C is a medicare enrolled "Emergency Medicine - Emergency Medical Services" in Thousand Oaks, California. Her current practice location is
215 W Janss Rd, Thousand Oaks, California. You can reach out to her office (for appointments etc.) via phone at
(805) 497-2727.
Kierstyn Gates is licensed to practice in California (license number NP95020755) 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 1255067856.
Provider's Profile
Full Name | Kierstyn Gates |
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Gender | Female |
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Speciality | Emergency Medicine - Emergency Medical Services |
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Location | 215 W Janss Rd, Thousand Oaks, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255067856
- Provider Enumeration Date: 07/26/2022
- Last Update Date: 11/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901273960
- Enrollment ID: I20221103001015
Medical Identifiers
Medical identifiers for Kierstyn Gates such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255067856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | NP95020755 (California) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | NP95020755 (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. Kierstyn Gates allows following entities to bill medicare on her behalf.
Entity Name | Los Robles Emergency Physicians Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417983552 PECOS PAC ID: 4880582618 Enrollment ID: O20040916000469 |
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Entity Name | Team Physicians Of California Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
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Entity Name | West Coast Pulmonary Physicians A Professional Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558464065 PECOS PAC ID: 1951309061 Enrollment ID: O20061128000604 |
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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. Kierstyn Gates 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 |
Kierstyn Gates, FNP-C 215 W Janss Rd, Thousand Oaks, CA 91360-1847 Ph: () - | Kierstyn Gates, FNP-C 215 W Janss Rd, Thousand Oaks, CA 91360-1847 Ph: (805) 497-2727 |
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