Katie Stucker, APRN is a medicare enrolled "Nurse Practitioner" in Ash Flat, Arkansas. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bradley Bibb Md Pllc and her current practice location is
49 Highway 62 412, Ash Flat, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 994-7301.
Katie Stucker is licensed to practice in Arkansas (license number A004810) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083065015.
Provider's Profile
| Full Name | Katie Stucker |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 49 Highway 62 412, Ash Flat, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katie Stucker graduated from nursing school in 2016
NPI Data:
- NPI Number: 1083065015
- Provider Enumeration Date: 06/30/2016
- Last Update Date: 06/30/2016
Medicare PECOS Information:
- PECOS PAC ID: 0446543847
- Enrollment ID: I20160722000658
Medical Identifiers
Medical identifiers for Katie Stucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083065015 | NPI | - | NPPES |
| A004810 | Other | AR | ARKANSAS NURSING BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | A004810 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bradley Bibb Md Pllc | 4789715285 | 70 |
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 Stucker allows following entities to bill medicare on her behalf.
| Entity Name | Bradley Bibb Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699097436
PECOS PAC ID: 4789715285
Enrollment ID: O20100628000488 |
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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 Stucker 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 Stucker, APRN
49 Highway 62 412,
Ash Flat, AR 72513-9594
Ph: (870) 994-7301 | Katie Stucker, APRN
49 Highway 62 412,
Ash Flat, AR 72513-9594
Ph: (870) 994-7301 |
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