Whitney Rachelle Coultas, in Medford, OR - Medicare Nurse Practitioner

Whitney Rachelle Coultas, is a medicare enrolled "Nurse Practitioner" in Medford, Oregon. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nisha Jackson Inc. and her current practice location is 3265 Hillcrest Park Dr, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 275-6655.

Whitney Rachelle Coultas is licensed to practice in Oregon (license number 202111129NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053088575.

Contact Information

	Whitney Rachelle Coultas,
	3265 Hillcrest Park Dr, Medford, OR 97504-7657
	(541) 275-6655
	Not Available

Map and Direction

Provider's Profile

Full Name	Whitney Rachelle Coultas
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	3265 Hillcrest Park Dr, Medford, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Whitney Rachelle Coultas graduated from nursing school in 2021

NPI Data:

NPI Number: 1053088575
Provider Enumeration Date: 08/23/2021
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 1254739824
Enrollment ID: I20211012002352

Medical Identifiers

Medical identifiers for Whitney Rachelle Coultas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053088575	NPI	-	NPPES
500798345	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201602008RN (Oregon)	Secondary
363L00000X	Nurse Practitioner	202111129NP-PP (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nisha Jackson Inc.	6305147745	37

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. Whitney Rachelle Coultas allows following entities to bill medicare on her behalf.

Entity Name	Nisha Jackson Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124499124 PECOS PAC ID: 6305147745 Enrollment ID: O20151209000878

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. Whitney Rachelle Coultas 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
Whitney Rachelle Coultas, 1355 Roxy Ann Rd, Medford, OR 97504-8065 Ph: (541) 261-7123	Whitney Rachelle Coultas, 3265 Hillcrest Park Dr, Medford, OR 97504-7657 Ph: (541) 275-6655

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121

Whitney Rachelle Coultas, - Medicare Nurse Practitioner in Medford, OR