Katie Marie Halder, RN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Rushford, Minnesota. Her current practice location is
109 W Jessie St, Rushford, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 864-7726.
Katie Marie Halder is licensed to practice in Minnesota (license number R156915-5) 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 1396971461.
Provider's Profile
| Full Name | Katie Marie Halder |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 109 W Jessie St, Rushford, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396971461
- Provider Enumeration Date: 06/03/2009
- Last Update Date: 07/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 8820286677
- Enrollment ID: I20101221000973
Medical Identifiers
Medical identifiers for Katie Marie Halder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396971461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WC1500X | Registered Nurse - Community Health | R 156915-5 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R156915-5 (Minnesota) | 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 Marie Halder allows following entities to bill medicare on her behalf.
| Entity Name | Mayo Clinic Health System-lake City |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164463659
PECOS PAC ID: 1951213487
Enrollment ID: O20031104000095 |
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| Entity Name | Mayo Clinic Health System-lake City |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1538113022
PECOS PAC ID: 1951213487
Enrollment ID: O20070711000490 |
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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 Marie Halder 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 |
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Katie Marie Halder, RN, CNP
855 Mankato Ave,
Winona, MN 55987-4868
Ph: (507) 454-3650 | Katie Marie Halder, RN, CNP
109 W Jessie St,
Rushford, MN 55971-8837
Ph: (507) 864-7726 |
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