Katy Gene Gutman, in Berkeley, CA - Medicare Nurse Practitioner

Katy Gene Gutman, is a medicare enrolled "Nurse Practitioner - Family" in Berkeley, California. Her current practice location is 2920 Telegraph Ave, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 686-3621.

Katy Gene Gutman is licensed to practice in California (license number 95024868) 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 1477241156.

Contact Information

	Katy Gene Gutman,
	2920 Telegraph Ave, Berkeley, CA 94705-2031
	(510) 686-3621
	Not Available

Map and Direction

Provider's Profile

Full Name	Katy Gene Gutman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2920 Telegraph Ave, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477241156
Provider Enumeration Date: 05/01/2023
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4688032451
Enrollment ID: I20230627000683

Medical Identifiers

Medical identifiers for Katy Gene Gutman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477241156	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95024868 (California)	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. Katy Gene Gutman allows following entities to bill medicare on her behalf.

Entity Name	Carbon Health Medical Group Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276

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. Katy Gene Gutman 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
Katy Gene Gutman, 2920 Telegraph Ave, Berkeley, CA 94705-2031 Ph: (510) 686-3621	Katy Gene Gutman, 2920 Telegraph Ave, Berkeley, CA 94705-2031 Ph: (510) 686-3621

Reviews and Comments

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Katy Gene Gutman, - Medicare Nurse Practitioner in Berkeley, CA