Kaitlin Nicole Desoe, APRN in Council Bluffs, IA

Kaitlin Nicole Desoe, APRN is a medicare enrolled "Nurse Practitioner - Family" in Council Bluffs, Iowa. Her current practice location is 3135 W Broadway, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 328-8100.

Kaitlin Nicole Desoe is licensed to practice in Iowa (license number A1566505) 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 1689223943.

Contact Information

	Kaitlin Nicole Desoe, APRN
	3135 W Broadway, Council Bluffs, IA 51501-3359
	(712) 328-8100
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaitlin Nicole Desoe
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3135 W Broadway, Council Bluffs, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689223943
Provider Enumeration Date: 09/10/2019
Last Update Date: 10/01/2019

Medicare PECOS Information:

PECOS PAC ID: 3173854734
Enrollment ID: I20191011001646

Medical Identifiers

Medical identifiers for Kaitlin Nicole Desoe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689223943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	69598 (Nebraska)	Secondary
363LF0000X	Nurse Practitioner - Family	112977 (Nebraska)	Secondary
363LF0000X	Nurse Practitioner - Family	A1566505 (Iowa)	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. Kaitlin Nicole Desoe allows following entities to bill medicare on her behalf.

Entity Name	Alegent Creighton Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314

Entity Name	Methodist Fremont Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235618216 PECOS PAC ID: 7911258520 Enrollment ID: O20181017000110

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. Kaitlin Nicole Desoe 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
Kaitlin Nicole Desoe, APRN 7261 Mercy Rd, Omaha, NE 68124-2311 Ph: () -	Kaitlin Nicole Desoe, APRN 3135 W Broadway, Council Bluffs, IA 51501-3359 Ph: (712) 328-8100

Reviews and Comments

Nurse Practitioner Nurses in Council Bluffs, IA

Jennifer L Achenbach, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-325-2484
Mallory Lloyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-740-6503
Michelle Rude, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069
Laura M Ayers, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Woodbury Ave Ste 8b, Council Bluffs, IA 51503 Phone: 712-796-2545 Fax: 712-847-6095
Shannon Ranae Stafford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501 Phone: 712-322-6650 Fax: 712-328-7985
Brian Luedke, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069
Ms. Emily Nance, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3434 W Broadway Ste 100, Council Bluffs, IA 51501 Phone: 712-325-0022

Kaitlin Nicole Desoe, APRN - Medicare Nurse Practitioner in Council Bluffs, IA