Katelyn Rae Genova, PA-C is a medicare enrolled "Military Health Care Provider" in Tacoma, Washington. Her current practice location is
Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 968-2252.
Katelyn Rae Genova is licensed to practice in * (Not Available) (license number ) 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 1083206973.
Provider's Profile
Full Name | Katelyn Rae Genova |
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Gender | Female |
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Speciality | Military Health Care Provider |
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Location | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington |
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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: 1083206973
- Provider Enumeration Date: 02/11/2021
- Last Update Date: 07/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355742149
- Enrollment ID: I20210630003406
Medical Identifiers
Medical identifiers for Katelyn Rae Genova such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083206973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
171000000X | Military Health Care Provider | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | 3845 (South Carolina) | Secondary |
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 Rae Genova 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 Rae Genova, PA-C Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: () - | Katelyn Rae Genova, PA-C Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 968-2252 |
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