Dr Kathy Karen Kladar, FNP-BC in Lake Havasu City, AZ

Dr Kathy Karen Kladar, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lake Havasu City, Arizona. Her current practice location is 329 Lake Havasu Ave S, Lake Havasu City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 764-7266.

Dr Kathy Karen Kladar is licensed to practice in Arizona (license number 291148) 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 1497197594.

Contact Information

	Dr Kathy Karen Kladar, FNP-BC
	329 Lake Havasu Ave S, Lake Havasu City, AZ 86403-9368
	(928) 764-7266
	(928) 302-3615

Map and Direction

Provider's Profile

Full Name	Dr Kathy Karen Kladar
Gender	Female
Speciality	Nurse Practitioner - Family
Location	329 Lake Havasu Ave S, Lake Havasu City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497197594
Provider Enumeration Date: 07/18/2013
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 3173749181
Enrollment ID: I20140729000864

Medical Identifiers

Medical identifiers for Dr Kathy Karen Kladar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497197594	NPI	-	NPPES
2013012247	Other		AMERICAN NURSE CREDENTIALING CENTER FAMILY NURSE PRACTITIONER, BOARD CERTIFIED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	775733 (California)	Secondary
163W00000X	Registered Nurse	291148 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	23302 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	291148 (Arizona)	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. Dr Kathy Karen Kladar allows following entities to bill medicare on her behalf.

Entity Name	Portia Bell Hume Behavioral Health And Training Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760489439 PECOS PAC ID: 0547251688 Enrollment ID: O20040519000374

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 Kathy Karen Kladar 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
Dr Kathy Karen Kladar, FNP-BC Po Box 3786, Parker, AZ 85344-3786 Ph: (707) 206-5862	Dr Kathy Karen Kladar, FNP-BC 329 Lake Havasu Ave S, Lake Havasu City, AZ 86403-9368 Ph: (928) 764-7266

Reviews and Comments

Nurse Practitioner Nurses in Lake Havasu City, AZ

Nikola Marie Neill, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403 Phone: 928-854-5368 Fax: 928-854-4462
Ms. Stephanie Louise Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1987 Mcculloch Blvd N, Ste 101, Lake Havasu City, AZ 86403 Phone: 928-453-6963 Fax: 928-453-7011
June Staley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403 Phone: 928-453-2661 Fax: 928-453-2672
Stephanie R Brison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-0060
Allison Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185
Darion Alexxis Roush, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185
Mrs. Stevie Jean Mueller, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-733-6293

Dr Kathy Karen Kladar, FNP-BC - Medicare Nurse Practitioner in Lake Havasu City, AZ