Kym Littlefield Whitaker, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Peterson Afb, California. Her current practice location is
110 Ent Avenue, Peterson Afb, California. You can reach out to her office (for appointments etc.) via phone at
(719) 556-1306.
Kym Littlefield Whitaker is licensed to practice in Colorado (license number APN.0992546-NP) 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 1356897250.
Provider's Profile
| Full Name | Kym Littlefield Whitaker |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 110 Ent Avenue, Peterson Afb, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356897250
- Provider Enumeration Date: 08/30/2016
- Last Update Date: 01/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264701416
- Enrollment ID: I20170705000292
Medical Identifiers
Medical identifiers for Kym Littlefield Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356897250 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APN.0992546-NP (Colorado) | 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. Kym Littlefield Whitaker allows following entities to bill medicare on her behalf.
| Entity Name | Uch-mhs |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083967988
PECOS PAC ID: 4486803426
Enrollment ID: O20121025000367 |
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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. Kym Littlefield Whitaker 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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Kym Littlefield Whitaker, MSN, FNP-C
10263 Capital Peak Way,
Peyton, CO 80831-4447
Ph: (076) 314-3653 | Kym Littlefield Whitaker, MSN, FNP-C
110 Ent Avenue,
Peterson Afb, CA 80914
Ph: (719) 556-1306 |
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