Ms Katherine E Branham, FNP is a medicare enrolled "Nurse Practitioner" in Ashland, Missouri. Her current practice location is
504 E Broadway, Suite A, Ashland, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 657-7330.
Ms Katherine E Branham is licensed to practice in Missouri (license number 104711) 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 1316928609.
Provider's Profile
| Full Name | Ms Katherine E Branham |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 504 E Broadway, Ashland, Missouri |
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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: 1316928609
- Provider Enumeration Date: 11/14/2005
- Last Update Date: 01/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 2466477989
- Enrollment ID: I20051013000158
Medical Identifiers
Medical identifiers for Ms Katherine E Branham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316928609 | NPI | - | NPPES |
| 507374205 | Medicaid | MO | |
| 424895126 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 104711 (Missouri) | 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. Ms Katherine E Branham allows following entities to bill medicare on her behalf.
| Entity Name | Bridget P. Early, Md, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861473134
PECOS PAC ID: 1759306277
Enrollment ID: O20051013000136 |
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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. Ms Katherine E Branham 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 |
|---|
Ms Katherine E Branham, FNP
Po Box 255,
Ashland, MO 65010-0255
Ph: (573) 657-7330 | Ms Katherine E Branham, FNP
504 E Broadway, Suite A,
Ashland, MO 65010-9538
Ph: (573) 657-7330 |
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