Kristen Nicole Withers, is a medicare enrolled "Nurse Practitioner - Family" in Marlinton, West Virginia. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Care Of West Virginia, Inc and her current practice location is
821 3rd Ave, Marlinton, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 799-4404.
Kristen Nicole Withers is licensed to practice in West Virginia (license number 110337) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104591015.
Provider's Profile
| Full Name | Kristen Nicole Withers |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 821 3rd Ave, Marlinton, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristen Nicole Withers graduated from nursing school in 2021
NPI Data:
- NPI Number: 1104591015
- Provider Enumeration Date: 08/12/2021
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325443633
- Enrollment ID: I20210825001718
Medical Identifiers
Medical identifiers for Kristen Nicole Withers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104591015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 110337 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Care Of West Virginia, Inc | 0446232987 | 66 |
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. Kristen Nicole Withers allows following entities to bill medicare on her behalf.
| Entity Name | Community Care Of West Virginia, Inc |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1164653457
PECOS PAC ID: 0446232987
Enrollment ID: O20071024000166 |
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| Entity Name | Community Care Of West Virginia, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386083673
PECOS PAC ID: 0446232987
Enrollment ID: O20140508002191 |
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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. Kristen Nicole Withers 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 |
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Kristen Nicole Withers,
821 3rd Ave,
Marlinton, WV 24954-1015
Ph: (304) 799-4404 | Kristen Nicole Withers,
821 3rd Ave,
Marlinton, WV 24954-1015
Ph: (304) 799-4404 |
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