Mrs Katie E Brewer, PA-C is a medicare enrolled "Physician Assistant - Medical" in Purcellville, Virginia. Her current practice location is
17336 Pickwick Dr, Purcellville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 338-3360.
Mrs Katie E Brewer is licensed to practice in Virginia (license number 0110004413) 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 1235198805.
Provider's Profile
| Full Name | Mrs Katie E Brewer |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 17336 Pickwick Dr, Purcellville, Virginia |
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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: 1235198805
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345308680
- Enrollment ID: I20081015000410
Medical Identifiers
Medical identifiers for Mrs Katie E Brewer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235198805 | NPI | - | NPPES |
| 0110004413 | Other | VA | VA LICENSE |
| 26102846 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 0110004413 (Virginia) | 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. Mrs Katie E Brewer allows following entities to bill medicare on her behalf.
| Entity Name | San Juan Oncology Associates PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558446187
PECOS PAC ID: 6709860380
Enrollment ID: O20210623001788 |
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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. Mrs Katie E Brewer 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 |
|---|
Mrs Katie E Brewer, PA-C
5920 100th St Sw, Ste 26,
Lakewood, WA 98499-2751
Ph: (253) 588-0756 | Mrs Katie E Brewer, PA-C
17336 Pickwick Dr,
Purcellville, VA 20132-6179
Ph: (540) 338-3360 |
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