Dr Kaitlyn Nicole Edwards, MD is a medicare enrolled "Otolaryngology" physician in Winchester, Kentucky. Her current practice location is
160 Pedro Way, Winchester, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 737-8483.
Dr Kaitlyn Nicole Edwards is licensed to practice in Kentucky (license number 56701) 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 1902339914.
Physician's Profile
| Full Name | Dr Kaitlyn Nicole Edwards |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Location | 160 Pedro Way, Winchester, Kentucky |
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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: 1902339914
- Provider Enumeration Date: 04/06/2017
- Last Update Date: 11/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800169459
- Enrollment ID: I20220824001834
Medical Identifiers
Medical identifiers for Dr Kaitlyn Nicole Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902339914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 56701 (Kentucky) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Dr Kaitlyn Nicole Edwards allows following entities to bill medicare on her behalf.
| Entity Name | Clark Regional Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780356253
PECOS PAC ID: 9739337569
Enrollment ID: O20120919000575 |
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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. Dr Kaitlyn Nicole Edwards 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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Dr Kaitlyn Nicole Edwards, MD
1345 Center Dr # M2-228, Po Box 100264,
Gainesville, FL 32610-3006
Ph: (352) 273-5199 | Dr Kaitlyn Nicole Edwards, MD
160 Pedro Way,
Winchester, KY 40391-8354
Ph: (859) 737-8483 |
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