Katherine Kiernan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. Her current practice location is
330 Brookline Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 667-7000.
Katherine Kiernan is licensed to practice in Massachusetts (license number ETLL-977) 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 1053934075.
Physician's Profile
Full Name | Katherine Kiernan |
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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 | 330 Brookline Ave, Boston, Massachusetts |
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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: 1053934075
- Provider Enumeration Date: 05/26/2020
- Last Update Date: 10/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385061282
- Enrollment ID: I20240610003150
Medical Identifiers
Medical identifiers for Katherine Kiernan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053934075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 1018610 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | ETLL-977 (Massachusetts) | 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. Katherine Kiernan 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 |
Katherine Kiernan, MD 330 Brookline Ave, Boston, MA 02215-5400 Ph: (617) 667-7000 | Katherine Kiernan, MD 330 Brookline Ave, Boston, MA 02215-5400 Ph: (617) 667-7000 |
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