Stephanie Julieth Gaytan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Glenn Heights, Texas. Her current practice location is
300 Sabine River Rd, Glenn Heights, Texas. You can reach out to her office (for appointments etc.) via phone at
(469) 222-0497.
Stephanie Julieth Gaytan is licensed to practice in Texas (license number 1180328) 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 1659180602.
Provider's Profile
| Full Name | Stephanie Julieth Gaytan |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 300 Sabine River Rd, Glenn Heights, Texas |
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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: 1659180602
- Provider Enumeration Date: 01/04/2025
- Last Update Date: 01/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901320605
- Enrollment ID: I20250403001337
Medical Identifiers
Medical identifiers for Stephanie Julieth Gaytan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659180602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1180328 (Texas) | 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. Stephanie Julieth Gaytan allows following entities to bill medicare on her behalf.
| Entity Name | Pulmonics Plus Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962812941
PECOS PAC ID: 1153548300
Enrollment ID: O20140812000056 |
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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. Stephanie Julieth Gaytan 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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Stephanie Julieth Gaytan, FNP-C
300 Sabine River Rd,
Glenn Heights, TX 75154-5582
Ph: (469) 222-0497 | Stephanie Julieth Gaytan, FNP-C
300 Sabine River Rd,
Glenn Heights, TX 75154-5582
Ph: (469) 222-0497 |
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