Katelyn Amanda Stults, NP in Los Alamitos, CA

Katelyn Amanda Stults, NP is a medicare enrolled "Nurse Practitioner - Family" in Los Alamitos, California. Her current practice location is 3742 Katella Ave Ste 302, Los Alamitos, California. You can reach out to her office (for appointments etc.) via phone at (562) 702-3825.

Katelyn Amanda Stults is licensed to practice in California (license number 95027104) 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 1144827072.

Contact Information

	Katelyn Amanda Stults, NP
	3742 Katella Ave Ste 302, Los Alamitos, CA 90720-3172
	(562) 702-3825
	(323) 302-4581

Map and Direction

Provider's Profile

Full Name	Katelyn Amanda Stults
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3742 Katella Ave Ste 302, Los Alamitos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144827072
Provider Enumeration Date: 10/04/2020
Last Update Date: 05/04/2024

Medicare PECOS Information:

PECOS PAC ID: 6305287004
Enrollment ID: I20240513001775

Medical Identifiers

Medical identifiers for Katelyn Amanda Stults such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144827072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95027104 (California)	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. Katelyn Amanda Stults allows following entities to bill medicare on her behalf.

Entity Name	Mobile Skin Solutions,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053914606 PECOS PAC ID: 0840602108 Enrollment ID: O20201210002712

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 Amanda Stults 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
Katelyn Amanda Stults, NP 18316 Taylor Ct, Torrance, CA 90504-5450 Ph: (610) 513-8182	Katelyn Amanda Stults, NP 3742 Katella Ave Ste 302, Los Alamitos, CA 90720-3172 Ph: (562) 702-3825

Reviews and Comments

Nurse Practitioner Nurses in Los Alamitos, CA

Mrs. Danielle Marie Villatoro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10861 Cherry St Ste 105, Los Alamitos, CA 90720 Phone: 562-595-1961 Fax: 562-595-5351
Xuan Hoang Linda Thi Tran, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10921 Cherry St Ste 200, Los Alamitos, CA 90720 Phone: 562-594-5996
Ruby Elaine Calalo, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3851 Katella Ave Ste 315, Los Alamitos, CA 90720 Phone: 562-626-8016
Klariz Lazo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Katella Ave Ste 375, Los Alamitos, CA 90720 Phone: 562-493-6568
Carol Ann Crawford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3460 Katella Ave, Los Alamitos, CA 90720 Phone: 562-594-6599 Fax: 562-598-6220
Ryan O'donell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4132 Katella Ave Ste 200, Los Alamitos, CA 90720 Phone: 562-312-1777
Sean Lee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4288 Katella Ave, Los Alamitos, CA 90720 Phone: 562-296-8514

Katelyn Amanda Stults, NP - Medicare Nurse Practitioner in Los Alamitos, CA