Ava King-byrne, DNP, NP-C - Medicare Nurse Practitioner in Woonsocket, RI

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Ava King-byrne, DNP, NP-C is a medicare enrolled "Nurse Practitioner" in Woonsocket, Rhode Island. Her current practice location is 2000 Diamond Hill Rd Ste 18, Woonsocket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 470-7116.

Ava King-byrne is licensed to practice in Georgia (license number RN133688) 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 1619299039.

Contact Information

Ava King-byrne, DNP, NP-C
2000 Diamond Hill Rd Ste 18,
Woonsocket, RI 02895-1554
(401) 470-7116
Not Available

Map and Direction




Provider's Profile

Full NameAva King-byrne
GenderFemale
SpecialityNurse Practitioner
Location2000 Diamond Hill Rd Ste 18, Woonsocket, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619299039
  • Provider Enumeration Date: 02/26/2010
  • Last Update Date: 10/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426186396
  • Enrollment ID: I20100513000698

Medical Identifiers

Medical identifiers for Ava King-byrne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619299039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN133688 (Georgia)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. Ava King-byrne allows following entities to bill medicare on her behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameCarelon Medical Partners, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124443403
PECOS PAC ID: 9931332111
Enrollment ID: O20160825001659

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. Ava King-byrne 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 AddressPractice Location Address
Ava King-byrne, DNP, NP-C
3 Artisan Dr,
Salem, NH 03079-3029

Ph: (770) 823-6582		Ava King-byrne, DNP, NP-C
2000 Diamond Hill Rd Ste 18,
Woonsocket, RI 02895-1554

Ph: (401) 470-7116

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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