Kristie L Quattlebaum, CRNP in Huntsville, AL

Kristie L Quattlebaum, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Huntsville, Alabama. Her current practice location is 7736 Madison Blvd Ste 1, Huntsville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 880-8930.

Kristie L Quattlebaum is licensed to practice in Alabama (license number 1-133998) 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 1609231885.

Contact Information

	Kristie L Quattlebaum, CRNP
	7736 Madison Blvd Ste 1, Huntsville, AL 35806-3658
	(256) 880-8930
	(256) 830-8932

Map and Direction

Provider's Profile

Full Name	Kristie L Quattlebaum
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	7736 Madison Blvd Ste 1, Huntsville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609231885
Provider Enumeration Date: 12/15/2015
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 0042517575
Enrollment ID: I20160329001983

Medical Identifiers

Medical identifiers for Kristie L Quattlebaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609231885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	1-133998 (Alabama)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	1-133998 (Alabama)	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. Kristie L Quattlebaum allows following entities to bill medicare on her behalf.

Entity Name	Crestwood Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154622520 PECOS PAC ID: 3476735648 Enrollment ID: O20110309000303

Entity Name	Tennessee Valley Pain Consultants, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730548264 PECOS PAC ID: 1658657788 Enrollment ID: O20170404000934

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. Kristie L Quattlebaum 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
Kristie L Quattlebaum, CRNP Po Box 689022, Franklin, TN 37068-9022 Ph: () -	Kristie L Quattlebaum, CRNP 7736 Madison Blvd Ste 1, Huntsville, AL 35806-3658 Ph: (256) 880-8930

Reviews and Comments

Nurse Practitioner Nurses in Huntsville, AL

Ms. Lisa Gay Rhodes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Wynn Drive, Rfcu Clinic, Huntsville, AL 35893 Phone: 256-722-4803 Fax: 256-722-4804
Hailey Farmer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Lowell Dr Se Ste 1, Huntsville, AL 35801 Phone: 256-265-4462 Fax: 256-265-4463
Elena Mihaela Kruse, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 Phone: 256-489-0757
Mrs. Gina Marie Delgado, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 Phone: 256-265-8641 Fax: 256-265-6722
Michael Larkins, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801 Phone: 256-265-3880
Meghan J Dunning, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-1000
Kayla Hebert, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4011 Meridian St., Huntsville, AL 35811 Phone: 256-372-5601 Fax: 256-934-2635

Kristie L Quattlebaum, CRNP - Medicare Nurse Practitioner in Huntsville, AL