Dr Kathryn Nicole Hurst, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portland, Maine. Her current practice location is
1577 Commercial Street, Fl 2, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 662-5790.
Dr Kathryn Nicole Hurst is licensed to practice in * (Not Available) (license number ) 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 1538553060.
Physician's Profile
Full Name | Dr Kathryn Nicole Hurst |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1577 Commercial Street, Portland, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538553060
- Provider Enumeration Date: 03/23/2015
- Last Update Date: 09/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305243148
- Enrollment ID: I20210922000569
Medical Identifiers
Medical identifiers for Dr Kathryn Nicole Hurst such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538553060 | NPI | - | NPPES |
MD24761 | Other | ME | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | MT215535 (Pennsylvania) | Secondary |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | MD24761 (Maine) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Kathryn Nicole Hurst allows following entities to bill medicare on her behalf.
Entity Name | Maine Medical Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134144090 PECOS PAC ID: 9335043967 Enrollment ID: O20040331000191 |
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Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
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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. Dr Kathryn Nicole Hurst 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 |
Dr Kathryn Nicole Hurst, MD 383 Commercial Street, Unit 307, Portland, ME 04101 Ph: (770) 519-8228 | Dr Kathryn Nicole Hurst, MD 1577 Commercial Street, Fl 2, Portland, ME 04102 Ph: (207) 662-5790 |
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