Marisa Angelene Kautz, FNP in Stockton, CA - Medicare Nurse Practitioner

Marisa Angelene Kautz, FNP is a medicare enrolled "Nurse Practitioner - Family" in Stockton, California. Her current practice location is 1801 E March Ln Ste A170, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 477-5552.

Marisa Angelene Kautz is licensed to practice in California (license number 95029291) 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 1700640752.

Contact Information

	Marisa Angelene Kautz, FNP
	1801 E March Ln Ste A170, Stockton, CA 95210-6673
	(209) 477-5552
	(209) 477-5553

Map and Direction

Provider's Profile

Full Name	Marisa Angelene Kautz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1801 E March Ln Ste A170, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700640752
Provider Enumeration Date: 02/09/2024
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 8820530611
Enrollment ID: I20240607002381

Medical Identifiers

Medical identifiers for Marisa Angelene Kautz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700640752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95029291 (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. Marisa Angelene Kautz allows following entities to bill medicare on her behalf.

Entity Name	Ht Family Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063660298 PECOS PAC ID: 1254494479 Enrollment ID: O20090114000755

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. Marisa Angelene Kautz 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
Marisa Angelene Kautz, FNP 1801 E March Ln Ste A170, Stockton, CA 95210-6673 Ph: (209) 477-5552	Marisa Angelene Kautz, FNP 1801 E March Ln Ste A170, Stockton, CA 95210-6673 Ph: (209) 477-5552

Reviews and Comments

Nurse Practitioner Nurses in Stockton, CA

Yuko Motooka-halseth, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 E March Ln Ste D470, Stockton, CA 95210 Phone: 209-507-7027 Fax: 209-762-6808
Harmanpreet Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 E Harding Way, Stockton, CA 95204 Phone: 209-944-5750
Rex Ambatali Jr., FNP-C, CVNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2633 Pacific Ave, Stockton, CA 95204 Phone: 209-944-5530
Mrs. Deborah Kay Hastie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907
Mrs. Ketty Ukpong Uweh, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 E Harding Way Ste B, Stockton, CA 95204 Phone: 209-244-9191 Fax: 209-244-9190
Dr. Joan S Rubinger, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204 Phone: 209-518-5051
Lisa Hansen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Suite #1, Stockton, CA 95207 Phone: 209-478-2622 Fax: 209-870-2754

Marisa Angelene Kautz, FNP - Medicare Nurse Practitioner in Stockton, CA