Mrs Kim D Douthit, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Walnut Grove, Alabama. Her current practice location is
4350 Cleveland Ave, Walnut Grove, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 589-6361.
Mrs Kim D Douthit is licensed to practice in Alabama (license number 1-090667) 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 1538394606.
Provider's Profile
| Full Name | Mrs Kim D Douthit |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 4350 Cleveland Ave, Walnut Grove, Alabama |
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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: 1538394606
- Provider Enumeration Date: 05/19/2009
- Last Update Date: 03/27/2013
Medicare PECOS Information:
- PECOS PAC ID: 7719016047
- Enrollment ID: I20100526000011
Medical Identifiers
Medical identifiers for Mrs Kim D Douthit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538394606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1-090667 (Alabama) | 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 Kim D Douthit allows following entities to bill medicare on her behalf.
| Entity Name | Doctors Med Care Of E Gadsden, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992736581
PECOS PAC ID: 2163335548
Enrollment ID: O20031111000560 |
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| Entity Name | Quality Of Life Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447200977
PECOS PAC ID: 7810890902
Enrollment ID: O20040324000006 |
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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 Kim D Douthit 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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Mrs Kim D Douthit, CRNP
1136 Stillman Ave,
Gadsden, AL 35903-2550
Ph: (256) 549-1824 | Mrs Kim D Douthit, CRNP
4350 Cleveland Ave,
Walnut Grove, AL 35990
Ph: (205) 589-6361 |
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