Katina Dena' Little, CPNP in Clemmons, NC - Medicare Nurse Practitioner

Katina Dena' Little, CPNP is a medicare enrolled "Nurse Practitioner" in Clemmons, North Carolina. Her current practice location is 2509a Lewisville Clemmons Rd # 1004, Clemmons, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 608-7411.

Katina Dena' Little is licensed to practice in North Carolina (license number 20090378) 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 1285876714.

Contact Information

	Katina Dena' Little, CPNP
	2509a Lewisville Clemmons Rd # 1004, Clemmons, NC 27012-8712
	(336) 608-7411
	(336) 920-3731

Map and Direction

Provider's Profile

Full Name	Katina Dena' Little
Gender	Female
Speciality	Nurse Practitioner
Location	2509a Lewisville Clemmons Rd # 1004, Clemmons, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285876714
Provider Enumeration Date: 03/30/2009
Last Update Date: 01/12/2024

Medicare PECOS Information:

PECOS PAC ID: 9436373263
Enrollment ID: I20170307002697

Medical Identifiers

Medical identifiers for Katina Dena' Little such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285876714	NPI	-	NPPES
20090378	Other	NC	PEDIATRIC NURSING CERTIFICATION BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	20090378 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	20090378 (North Carolina)	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. Katina Dena' Little allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Katina Dena' Little 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
Katina Dena' Little, CPNP 376 Hollinswood Ave, Winston Salem, NC 27103-6245 Ph: (336) 608-7411	Katina Dena' Little, CPNP 2509a Lewisville Clemmons Rd # 1004, Clemmons, NC 27012-8712 Ph: (336) 608-7411

Reviews and Comments

Nurse Practitioner Nurses in Clemmons, NC

Stephanie Draker, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6915 Village Medical Cir, Clemmons, NC 27012 Phone: 336-718-1680 Fax: 336-718-1681
Jeanine Baskin, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6371 Jessie Ln, Clemmons, NC 27012 Phone: 336-740-9659
Bethany Rena Low, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6301 Stadium Dr Ste 500, Clemmons, NC 27012 Phone: 336-766-6473 Fax: 336-766-8909
Mrs. Phyllis Patricia Coconis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2554 Lewisville-clemmons Rd, Ste 109, Clemmons, NC 27012 Phone: 704-766-1000 Fax: 704-766-1002
Mrs. Carly Anne Peeler Regan, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6915 Village Medical Cir, Clemmons, NC 27012 Phone: 336-718-1680
Mrs. Rhonda Wallace Dixon, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4130 Clemmons Rd, Clemmons, NC 27012 Phone: 336-765-5470 Fax: 336-499-5428
Ronda Renee Wright, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2770 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-766-0324

Katina Dena' Little, CPNP - Medicare Nurse Practitioner in Clemmons, NC