Katrina Raye Flagg, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Westminster, South Carolina. Her current practice location is
108 E Main St, Westminster, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 784-1950.
Katrina Raye Flagg is licensed to practice in South Carolina (license number 27781) 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 1104600170.
Provider's Profile
Full Name | Katrina Raye Flagg |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 108 E Main St, Westminster, South Carolina |
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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: 1104600170
- Provider Enumeration Date: 08/22/2023
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113370438
- Enrollment ID: I20240201004411
Medical Identifiers
Medical identifiers for Katrina Raye Flagg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104600170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 27781 (South 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. Katrina Raye Flagg allows following entities to bill medicare on her behalf.
Entity Name | Vivify Psychiatric Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871377671 PECOS PAC ID: 6305299629 Enrollment ID: O20240201004377 |
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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. Katrina Raye Flagg 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 |
Katrina Raye Flagg, PMHNP Po Box 321, Westminster, SC 29693-0321 Ph: (864) 301-1303 | Katrina Raye Flagg, PMHNP 108 E Main St, Westminster, SC 29693-1715 Ph: (864) 784-1950 |
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