Mrs Kristin Porter, FNP-C, FNP-BC in Gilbert, AZ

Mrs Kristin Porter, FNP-C, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Gilbert, Arizona. Her current practice location is 2721 S San Tan Village Pkwy Ste 104, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 500-9307.

Mrs Kristin Porter is licensed to practice in Arizona (license number RNP267819) 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 1285394445.

Contact Information

	Mrs Kristin Porter, FNP-C, FNP-BC
	2721 S San Tan Village Pkwy Ste 104, Gilbert, AZ 85295-0713
	(480) 500-9307
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kristin Porter
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2721 S San Tan Village Pkwy Ste 104, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285394445
Provider Enumeration Date: 12/29/2021
Last Update Date: 03/28/2022

Medicare PECOS Information:

PECOS PAC ID: 6204212905
Enrollment ID: I20221004001528

Medical Identifiers

Medical identifiers for Mrs Kristin Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285394445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RNP267819 (Arizona)	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. Mrs Kristin Porter allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Walk-in Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790196806 PECOS PAC ID: 5496975153 Enrollment ID: O20140930002299

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. Mrs Kristin Porter 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
Mrs Kristin Porter, FNP-C, FNP-BC 2721 S San Tan Village Pkwy Ste 104, Gilbert, AZ 85295-0713 Ph: (480) 500-9307	Mrs Kristin Porter, FNP-C, FNP-BC 2721 S San Tan Village Pkwy Ste 104, Gilbert, AZ 85295-0713 Ph: (480) 500-9307

Reviews and Comments

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Mrs Kristin Porter, FNP-C, FNP-BC - Medicare Nurse Practitioner in Gilbert, AZ