Ms Kathryn M Detjens, ARNP is a medicare enrolled "Advanced Practice Midwife" in Mobile, Alabama. Her current practice location is
1700 Center St, Mobile, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 415-1566.
Ms Kathryn M Detjens is licensed to practice in Alabama (license number 1-142596) 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 1043516958.
Provider's Profile
| Full Name | Ms Kathryn M Detjens |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1700 Center St, Mobile, Alabama |
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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: 1043516958
- Provider Enumeration Date: 02/10/2011
- Last Update Date: 11/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 6406038322
- Enrollment ID: I20140408000526
Medical Identifiers
Medical identifiers for Ms Kathryn M Detjens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043516958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | ARNP9225689 (Florida) | Secondary |
| 367A00000X | Advanced Practice Midwife | 1-142596 (Alabama) | 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. Ms Kathryn M Detjens allows following entities to bill medicare on her behalf.
| Entity Name | University Of South Alabama |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992746838
PECOS PAC ID: 3072425149
Enrollment ID: O20040115000773 |
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| Entity Name | Usa Health Physician Billing Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720645468
PECOS PAC ID: 9931436912
Enrollment ID: O20190814000827 |
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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. Ms Kathryn M Detjens 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 |
|---|
Ms Kathryn M Detjens, ARNP
Po Box 40480,
Mobile, AL 36640-0480
Ph: (251) 415-1566 | Ms Kathryn M Detjens, ARNP
1700 Center St,
Mobile, AL 36604-3301
Ph: (251) 415-1566 |
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