Kourtney K Darrow, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Clay, New York. Her current practice location is
8502 Dorothys Garden Pl, Clay, New York. You can reach out to her office (for appointments etc.) via phone at
(314) 852-0728.
Kourtney K Darrow is licensed to practice in New York (license number 402634) 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 1417515552.
Physician's Profile
Full Name | Kourtney K Darrow |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 8502 Dorothys Garden Pl, Clay, 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: 1417515552
- Provider Enumeration Date: 06/04/2019
- Last Update Date: 07/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274869508
- Enrollment ID: I20190724003714
Medical Identifiers
Medical identifiers for Kourtney K Darrow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417515552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 402634 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 402634 (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. Kourtney K Darrow allows following entities to bill medicare on her behalf.
Entity Name | Northern Oswego County Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
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Entity Name | Children's Home Of Jefferson County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538455696 PECOS PAC ID: 6002088416 Enrollment ID: O20111007000063 |
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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. Kourtney K Darrow 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 |
Kourtney K Darrow, NP 8502 Dorothys Garden Pl, Clay, NY 13041-9008 Ph: (314) 852-0728 | Kourtney K Darrow, NP 8502 Dorothys Garden Pl, Clay, NY 13041-9008 Ph: (314) 852-0728 |
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