Kiethlyn Gabat, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Rising Sun, Maryland. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
111 Ryan Dr, Rising Sun, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 642-9172.
Kiethlyn Gabat is licensed to practice in Maryland (license number R202095) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1124785019.
Provider's Profile
| Full Name | Kiethlyn Gabat |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 111 Ryan Dr, Rising Sun, Maryland |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kiethlyn Gabat graduated from nursing school in 2021
NPI Data:
- NPI Number: 1124785019
- Provider Enumeration Date: 11/26/2021
- Last Update Date: 11/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183140593
- Enrollment ID: I20250429002556
Medical Identifiers
Medical identifiers for Kiethlyn Gabat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124785019 | NPI | - | NPPES |
| G-130-469-095-025 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | R202095 (Maryland) | 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. Kiethlyn Gabat allows following entities to bill medicare on her behalf.
| Entity Name | Mnr Industries Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093130924 PECOS PAC ID: 7416908843 Enrollment ID: O20160119000098 |
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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. Kiethlyn Gabat 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 |
Kiethlyn Gabat, CRNP 111 Ryan Dr, Rising Sun, MD 21911-1841 Ph: () - | Kiethlyn Gabat, CRNP 111 Ryan Dr, Rising Sun, MD 21911-1841 Ph: (410) 642-9172 |
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