Kettia Nephtalie Guillite, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in East Meadow, New York. Her current practice location is
2201 Hempstead Tpke, East Meadow, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 572-4835.
Kettia Nephtalie Guillite 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 1508495706.
Physician's Profile
| Full Name | Kettia Nephtalie Guillite |
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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 | 2201 Hempstead Tpke, East Meadow, 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. |
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NPI Data:
- NPI Number: 1508495706
- Provider Enumeration Date: 04/08/2020
- Last Update Date: 12/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729520671
- Enrollment ID: I20240606001493
Medical Identifiers
Medical identifiers for Kettia Nephtalie Guillite such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508495706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 323904 (New York) | 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. Kettia Nephtalie Guillite allows following entities to bill medicare on her behalf.
| Entity Name | Essen Medical Urgicare, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841607298
PECOS PAC ID: 4385960897
Enrollment ID: O20150227000903 |
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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. Kettia Nephtalie Guillite 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 |
|---|
Kettia Nephtalie Guillite,
111 E 210th St,
Bronx, NY 10467-2401
Ph: (718) 920-4321 | Kettia Nephtalie Guillite,
2201 Hempstead Tpke,
East Meadow, NY 11554-1859
Ph: (516) 572-4835 |
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