Katlyn Small Nixon, OT is a medicare enrolled "Occupational Therapist" provider in Ahoskie, North Carolina. Her current practice location is
312 Academy St S Ste G, Ahoskie, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 276-2194.
Katlyn Small Nixon is licensed to practice in North Carolina (license number 10831) 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 1174271449.
Healthcare Provider's Profile
| Full Name | Katlyn Small Nixon |
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| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 312 Academy St S Ste G, Ahoskie, North Carolina |
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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: 1174271449
- Provider Enumeration Date: 03/15/2022
- Last Update Date: 03/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 7214323203
- Enrollment ID: I20220330002243
Medical Identifiers
Medical identifiers for Katlyn Small Nixon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174271449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 10831 (North Carolina) | 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. Katlyn Small Nixon allows following entities to bill medicare on her behalf.
| Provider Name | Big Heart International Trading Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1982279436
PECOS PAC ID: 9234527904
Enrollment ID: O20211029000170 |
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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. Katlyn Small Nixon 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 |
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Katlyn Small Nixon, OT
312 Academy St S Ste G,
Ahoskie, NC 27910-3200
Ph: (252) 276-2194 | Katlyn Small Nixon, OT
312 Academy St S Ste G,
Ahoskie, NC 27910-3200
Ph: (252) 276-2194 |
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