Kristina Jean Prater, FNP-C is a medicare enrolled "Nurse Practitioner" in Sonora, Texas. Her current practice location is
308 Hudspeth St, Sonora, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 387-2521.
Kristina Jean Prater is licensed to practice in Texas (license number 1019613) 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 1093318669.
Provider's Profile
| Full Name | Kristina Jean Prater |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 308 Hudspeth St, Sonora, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093318669
- Provider Enumeration Date: 11/17/2020
- Last Update Date: 11/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 4789098401
- Enrollment ID: I20210120002572
Medical Identifiers
Medical identifiers for Kristina Jean Prater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093318669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 1019613 (Texas) | 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. Kristina Jean Prater allows following entities to bill medicare on her behalf.
| Entity Name | Preferred Hospital Leasing Eldorado, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457405136
PECOS PAC ID: 5799707618
Enrollment ID: O20060112000946 |
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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. Kristina Jean Prater 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 |
|---|
Kristina Jean Prater, FNP-C
Po Box 455,
Sonora, TX 76950-0455
Ph: (325) 387-2521 | Kristina Jean Prater, FNP-C
308 Hudspeth St,
Sonora, TX 76950-8003
Ph: (325) 387-2521 |
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