Kaitlin Dougles, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in New Hyde Park, New York. Her current practice location is
26901 76th Ave, New Hyde Park, New York. You can reach out to her office (for appointments etc.) via phone at
(650) 497-8000.
Kaitlin Dougles is licensed to practice in New York (license number 383450) 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 1437817897.
Physician's Profile
Full Name | Kaitlin Dougles |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 26901 76th Ave, New Hyde Park, New York |
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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: 1437817897
- Provider Enumeration Date: 12/02/2021
- Last Update Date: 10/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769873728
- Enrollment ID: I20230213000304
Medical Identifiers
Medical identifiers for Kaitlin Dougles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437817897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 95019228 (California) | Secondary |
363L00000X | Nurse Practitioner | 95019228 (California) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 383450 (New York) | 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. Kaitlin Dougles allows following entities to bill medicare on her behalf.
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
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Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
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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. Kaitlin Dougles 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 |
Kaitlin Dougles, NP 26901 76th Ave, New Hyde Park, NY 11040-1433 Ph: () - | Kaitlin Dougles, NP 26901 76th Ave, New Hyde Park, NY 11040-1433 Ph: (650) 497-8000 |
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