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Katherine Brooke Barnes

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

816 Tanglewood Dr, Pensacola, FL 32503-3224

PECOS Enrollment

This provider is enrolled in PECOS as KATHERINE BARNES.

Based on the most recent information from CMS, provider Katherine Brooke Barnes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1275143760
Provider Type
Individual
Full Name
Barnes, Katherine Brooke
Credential
APRN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/9/2020
Last Updated
8/9/2020

Contact Information

Practice Location

816 Tanglewood Dr, Pensacola, FL 32503-3224

(850) 266-4315

Unlisted Fax

Mailing Location

816 Tanglewood Dr, Pensacola, FL 32503-3224

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11008533 Florida

Katherine Brooke Barnes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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