Katelyn Marie Moffatt, is a
Licensed Practical Nurse based in Marion, Ohio. Katelyn Marie Moffatt is licensed to practice in Ohio (license number 176454) and her current practice location is
827 N Main St, Marion, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 914-5000.
NPI number for Katelyn Marie Moffatt is 1235859133 and her current mailing address is 827 N Main St, Marion, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235859133.
Healthcare Provider's Profile
| Full Name | Katelyn Marie Moffatt |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 827 N Main St, Marion, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235859133
- Provider Enumeration Date: 08/31/2022
- Last Update Date: 02/04/2026
Medical Identifiers
Medical identifiers for Katelyn Marie Moffatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235859133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 164W00000X | Licensed Practical Nurse | 176454 (Ohio) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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. Katelyn Marie Moffatt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Katelyn Marie Moffatt, 827 N Main St, Marion, OH 43302-1736 Ph: (740) 914-5000 | Katelyn Marie Moffatt, 827 N Main St, Marion, OH 43302-1736 Ph: (740) 914-5000 |
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