Kerrie Lynn Decastro, CNM is a medicare enrolled "Advanced Practice Midwife" in Casa Grande, Arizona. Her current practice location is
580 N Camino Mercado Ste 8, Casa Grande, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 836-3446.
Kerrie Lynn Decastro is licensed to practice in Arizona (license number 315170) 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 1275358525.
Provider's Profile
Full Name | Kerrie Lynn Decastro |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 580 N Camino Mercado Ste 8, Casa Grande, Arizona |
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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: 1275358525
- Provider Enumeration Date: 11/21/2024
- Last Update Date: 11/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466988480
- Enrollment ID: I20241213000055
Medical Identifiers
Medical identifiers for Kerrie Lynn Decastro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275358525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 315170 (Arizona) | 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. Kerrie Lynn Decastro allows following entities to bill medicare on her behalf.
Entity Name | Sun Life Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891913166 PECOS PAC ID: 9335032275 Enrollment ID: O20040205000085 |
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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. Kerrie Lynn Decastro 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 |
Kerrie Lynn Decastro, CNM 19509 E Walnut Rd, Queen Creek, AZ 85142-6229 Ph: (623) 237-1534 | Kerrie Lynn Decastro, CNM 580 N Camino Mercado Ste 8, Casa Grande, AZ 85122-5757 Ph: (520) 836-3446 |
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