Kym Littlefield Whitaker, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Peterson Afb, California. Her current practice location is
110 Ent Avenue, Peterson Afb, California. You can reach out to her office (for appointments etc.) via phone at
(719) 556-1306.
Kym Littlefield Whitaker is licensed to practice in Colorado (license number APN.0992546-NP) 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 1356897250.
Provider's Profile
Full Name | Kym Littlefield Whitaker |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 110 Ent Avenue, Peterson Afb, 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: 1356897250
- Provider Enumeration Date: 08/30/2016
- Last Update Date: 01/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264701416
- Enrollment ID: I20170705000292
Medical Identifiers
Medical identifiers for Kym Littlefield Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356897250 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APN.0992546-NP (Colorado) | 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. Kym Littlefield Whitaker allows following entities to bill medicare on her behalf.
Entity Name | Uch-mhs |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083967988 PECOS PAC ID: 4486803426 Enrollment ID: O20121025000367 |
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Entity Name | Mobile Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730619883 PECOS PAC ID: 3173887056 Enrollment ID: O20180430001850 |
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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. Kym Littlefield Whitaker 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 |
Kym Littlefield Whitaker, MSN, FNP-C 10263 Capital Peak Way, Peyton, CO 80831-4447 Ph: (076) 314-3653 | Kym Littlefield Whitaker, MSN, FNP-C 110 Ent Avenue, Peterson Afb, CA 80914 Ph: (719) 556-1306 |
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