Dr Kathryn Nicole Faidley, MD - Medicare Orthopaedic Surgery in Columbia, MO

Dr Kathryn Nicole Faidley, MD is a medicare enrolled "Orthopaedic Surgery" physician in Columbia, Missouri. Her current practice location is 1100 Virginia Avenue, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 882-2663.

Dr Kathryn Nicole Faidley is licensed to practice in Missouri (license number 2023023578) 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 1336824960.

Contact Information

Dr Kathryn Nicole Faidley, MD
1100 Virginia Avenue,
Columbia, MO 65212-0001
(573) 882-2663
Not Available



Physician's Profile

Full NameDr Kathryn Nicole Faidley
GenderFemale
SpecialityOrthopaedic Surgery
Location1100 Virginia Avenue, Columbia, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336824960
  • Provider Enumeration Date: 06/20/2023
  • Last Update Date: 06/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244698215
  • Enrollment ID: I20230623000203

Medical Identifiers

Medical identifiers for Dr Kathryn Nicole Faidley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336824960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 2023023578 (Missouri)Primary

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. Dr Kathryn Nicole Faidley 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 AddressPractice Location Address
Dr Kathryn Nicole Faidley, MD
4912 Kenora Dr,
Columbia, MO 65201-1106

Ph: (719) 359-7517
Dr Kathryn Nicole Faidley, MD
1100 Virginia Avenue,
Columbia, MO 65212-0001

Ph: (573) 882-2663

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Orthopaedic Surgery Doctors in Columbia, MO

Prati Jahnu Reddy, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Virginia Ave, Columbia, MO 65212
Phone: 573-882-2663    
Randal R Trecha, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1 S Keene St, Columbia, MO 65201
Phone: 573-443-2402    Fax: 573-443-0574
Gregory John Della Rocca, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: One Hospital Dr, Columbia, MO 65212
Phone: 573-882-2663    Fax: 573-882-0569
Daniel A London, MD, MS
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Virginia Ave, Columbia, MO 65212
Phone: 573-882-2663    Fax: 573-882-1760
Adam Mohamed Fahs,
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: One Hospital Dr, Columbia, MO 65212
Phone: 573-882-2663    Fax: 573-882-1760
Levi Nathan Gause, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Virginia Ave, Columbia, MO 65212
Phone: 573-882-2663    Fax: 573-882-1760
Tzu Chuan Yen,
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1100 Virginia Ave, Columbia, MO 65201
Phone: 573-882-2663    

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