Colleen A Mccormick, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mahopac, New York. Her current practice location is
216 Logan Ln, Crna - Medical Doctor Associates, Mahopac, New York. You can reach out to her office (for appointments etc.) via phone at
(888) 400-8878.
Colleen A Mccormick is licensed to practice in New York (license number 5039101) 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 1407831944.
Provider's Profile
| Full Name | Colleen A Mccormick |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 216 Logan Ln, Mahopac, 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: 1407831944
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3779509047
- Enrollment ID: I20111007000251
Medical Identifiers
Medical identifiers for Colleen A Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407831944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 101-0017589 (Vermont) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 5039101 (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. Colleen A Mccormick allows following entities to bill medicare on her behalf.
| Entity Name | Amoskeag Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104883511
PECOS PAC ID: 1759375983
Enrollment ID: O20040513001385 |
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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. Colleen A Mccormick 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 |
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Colleen A Mccormick, CRNA
21 Wildwood Est,
Plattsburgh, NY 12901-5002
Ph: (518) 561-2214 | Colleen A Mccormick, CRNA
216 Logan Ln, Crna - Medical Doctor Associates,
Mahopac, NY 10541-3650
Ph: (888) 400-8878 |
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