Kathryn Ault, CNM APRN is a medicare enrolled "Midwife" in Homer, Alaska. Her current practice location is
205 W Fairview Ave, Homer, Alaska. You can reach out to her office (for appointments etc.) via phone at
(907) 435-0555.
Kathryn Ault is licensed to practice in Alaska (license number 115061) 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 1669921730.
Provider's Profile
| Full Name | Kathryn Ault |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 205 W Fairview Ave, Homer, Alaska |
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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: 1669921730
- Provider Enumeration Date: 09/29/2016
- Last Update Date: 04/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 9335429117
- Enrollment ID: I20200508000370
Medical Identifiers
Medical identifiers for Kathryn Ault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669921730 | NPI | - | NPPES |
| 1702227 | Medicaid | AK | |
| 1655161 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 115061 (Alaska) | Secondary |
| 176B00000X | Midwife | 115061 (Alaska) | 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. Kathryn Ault allows following entities to bill medicare on her behalf.
| Entity Name | Anchorage Women's Clinic At Providence Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265496061
PECOS PAC ID: 9032102124
Enrollment ID: O20040405001651 |
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| Entity Name | Obhg Alaska Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740697069
PECOS PAC ID: 7113233834
Enrollment ID: O20150826000621 |
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| Entity Name | Katieostrommd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093352502
PECOS PAC ID: 2062841554
Enrollment ID: O20200403002924 |
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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. Kathryn Ault 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 |
|---|
Kathryn Ault, CNM APRN
205 W Fairview Ave,
Homer, AK 99603-7032
Ph: (907) 435-0555 | Kathryn Ault, CNM APRN
205 W Fairview Ave,
Homer, AK 99603-7032
Ph: (907) 435-0555 |
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