Katherine Flanagan, MD is a medicare enrolled "Dermatology" physician in Jasper, Alabama. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Shades Valley Dermatology, Llc and her current practice location is
1600 5th Ave S, Jasper, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 578-1799.
Katherine Flanagan is licensed to practice in Alabama (license number 23903) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104092675.
Physician's Profile
| Full Name | Katherine Flanagan |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 27 Years |
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| Location | 1600 5th Ave S, Jasper, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Katherine Flanagan attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1999
NPI Data:
- NPI Number: 1104092675
- Provider Enumeration Date: 05/05/2008
- Last Update Date: 03/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 1456376680
- Enrollment ID: I20110803000004
Medical Identifiers
Medical identifiers for Katherine Flanagan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104092675 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 23903 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Shades Valley Dermatology, Llc | 4688966302 | 2 |
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. Katherine Flanagan allows following entities to bill medicare on her behalf.
| Entity Name | Shades Valley Dermatology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831548668 PECOS PAC ID: 4688966302 Enrollment ID: O20160715001413 |
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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. Katherine Flanagan 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 |
Katherine Flanagan, MD 1600 5th Ave S, Jasper, AL 35501-4658 Ph: (205) 578-1799 | Katherine Flanagan, MD 1600 5th Ave S, Jasper, AL 35501-4658 Ph: (205) 578-1799 |
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