Kathryn E Wynne, MD in Worcester, MA

Kathryn E Wynne, MD is a medicare enrolled "Pediatrics" physician in Worcester, Massachusetts. Her current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 442-3713.

Kathryn E Wynne is licensed to practice in Massachusetts (license number 262384) 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 1619239050.

Contact Information

	Kathryn E Wynne, MD
	55 Lake Ave N, Worcester, MA 01655-0002
	(774) 442-3713
	(774) 443-7989

Map and Direction

Physician's Profile

Full Name	Kathryn E Wynne
Gender	Female
Speciality	Pediatrics
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619239050
Provider Enumeration Date: 06/12/2012
Last Update Date: 11/16/2020

Medicare PECOS Information:

PECOS PAC ID: 5597918797
Enrollment ID: I20150713001274

Medical Identifiers

Medical identifiers for Kathryn E Wynne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619239050	NPI	-	NPPES
S400226313	Other	MA	MEDICARE
110103143A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	262384 (Massachusetts)	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. Kathryn E Wynne allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

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. Kathryn E Wynne 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
Kathryn E Wynne, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885	Kathryn E Wynne, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 442-3713

Reviews and Comments

Pediatrics Doctors in Worcester, MA

Marissa E Parrillo, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-5545 Fax: 774-443-7042
Dr. Penny M. Feldman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-441-8081 Fax: 774-441-8055
Dr. Linda D Sagor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655 Phone: 508-856-4198 Fax: 508-856-1042
Dr. Robert W Zavoski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800 Fax: 508-860-7925
Cornelius T Tyrrell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655 Phone: 508-334-7986 Fax: 508-334-7989
Callie M Stone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Nura El-haj, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-441-8083 Fax: 774-441-8057

Kathryn E Wynne, MD - Medicare Pediatrics in Worcester, MA