Katie O'connor, FNP is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Chesterton, Indiana. Her current practice location is
209 S Calumet Rd Ste 6, Chesterton, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 269-0926.
Katie O'connor is licensed to practice in Indiana (license number 71008580A) 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 1174092126.
Physician's Profile
Full Name | Katie O'connor |
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Gender | Female |
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Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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Location | 209 S Calumet Rd Ste 6, Chesterton, Indiana |
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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: 1174092126
- Provider Enumeration Date: 11/20/2018
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426399486
- Enrollment ID: I20190401002538
Medical Identifiers
Medical identifiers for Katie O'connor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174092126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 71008580A (Indiana) | 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. Katie O'connor allows following entities to bill medicare on her behalf.
Entity Name | 360 Integrated Medical Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710459458 PECOS PAC ID: 6204265614 Enrollment ID: O20200407000709 |
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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. Katie O'connor 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 |
Katie O'connor, FNP 209 S Calumet Rd Ste 6, Chesterton, IN 46304-2475 Ph: (219) 269-0926 | Katie O'connor, FNP 209 S Calumet Rd Ste 6, Chesterton, IN 46304-2475 Ph: (219) 269-0926 |
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