Katie Etherington, CNM, WHNP-BC is a medicare enrolled "Advanced Practice Midwife" in Enumclaw, Washington. Her current practice location is
853 Watson St N Ste 200, Enumclaw, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 367-2970.
Katie Etherington 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 1205443637.
Provider's Profile
| Full Name | Katie Etherington |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 853 Watson St N Ste 200, Enumclaw, 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: 1205443637
- Provider Enumeration Date: 09/29/2020
- Last Update Date: 09/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 0840601555
- Enrollment ID: I20201202001330
Medical Identifiers
Medical identifiers for Katie Etherington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205443637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LW0102X | Nurse Practitioner - Women's Health | AP61092014 (Washington) | Secondary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | 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. Katie Etherington allows following entities to bill medicare on her behalf.
| Entity Name | Multicare Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
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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. Katie Etherington 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 |
Katie Etherington, CNM, WHNP-BC 711 N Evergreen Rd Apt 2101, Mesa, AZ 85201-7551 Ph: Not Available | Katie Etherington, CNM, WHNP-BC 853 Watson St N Ste 200, Enumclaw, WA 98022-3948 Ph: (360) 367-2970 |
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