Na Kita Butler, APNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in North Fond Du Lac, Wisconsin. Her current practice location is
700 Park Ridge Ln, North Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 926-7800.
Na Kita Butler is licensed to practice in Wisconsin (license number 12148-33) 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 1720718224.
Provider's Profile
| Full Name | Na Kita Butler |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 700 Park Ridge Ln, North Fond Du Lac, Wisconsin |
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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: 1720718224
- Provider Enumeration Date: 06/16/2022
- Last Update Date: 06/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890163208
- Enrollment ID: I20221116000564
Medical Identifiers
Medical identifiers for Na Kita Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720718224 | NPI | - | NPPES |
| 100214225 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 22404130 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 12148-033 (Wisconsin) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 12148-33 (Wisconsin) | 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. Na Kita Butler allows following entities to bill medicare on her behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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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. Na Kita Butler 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 |
|---|
Na Kita Butler, APNP, PMHNP-BC
700 Park Ridge Ln,
North Fond Du Lac, WI 54937-1385
Ph: (920) 926-7800 | Na Kita Butler, APNP, PMHNP-BC
700 Park Ridge Ln,
North Fond Du Lac, WI 54937-1385
Ph: (920) 926-7800 |
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