Katie Boydstun, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fayetteville, Arkansas. Her current practice location is
60 W Sunbridge Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 750-2020.
Katie Boydstun is licensed to practice in Arkansas (license number 6874-C) 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 1477700391.
Healthcare Provider's Profile
Full Name | Katie Boydstun |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 60 W Sunbridge Dr, Fayetteville, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477700391
- Provider Enumeration Date: 08/21/2008
- Last Update Date: 11/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991174773
- Enrollment ID: I20221219000671
Medical Identifiers
Medical identifiers for Katie Boydstun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477700391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 6874-M (Arkansas) | Secondary |
1041C0700X | Social Worker - Clinical | 6874-C (Arkansas) | 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. Katie Boydstun allows following entities to bill medicare on her behalf.
Entity Name | Ozark Guidance Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380 |
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Entity Name | Arisa Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437750411 PECOS PAC ID: 2264853829 Enrollment ID: O20230508000555 |
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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. Katie Boydstun 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 |
Katie Boydstun, LCSW 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020 | Katie Boydstun, LCSW 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 Ph: (479) 750-2020 |
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