Dr Kathy Roucek Prairie, FNP in Clifton Park, NY

Dr Kathy Roucek Prairie, FNP is a medicare enrolled "Nurse Practitioner - Family" in Clifton Park, New York. Her current practice location is 8 Abbey Ct, Clifton Park, New York. You can reach out to her office (for appointments etc.) via phone at (518) 265-4258.

Dr Kathy Roucek Prairie is licensed to practice in New York (license number 332059) 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 1356924674.

Contact Information

	Dr Kathy Roucek Prairie, FNP
	8 Abbey Ct, Clifton Park, NY 12065-1626
	(518) 265-4258
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kathy Roucek Prairie
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8 Abbey Ct, Clifton Park, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356924674
Provider Enumeration Date: 05/04/2021
Last Update Date: 05/04/2021

Medicare PECOS Information:

PECOS PAC ID: 7911372321
Enrollment ID: I20230417000551

Medical Identifiers

Medical identifiers for Dr Kathy Roucek Prairie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356924674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	332059 (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. Dr Kathy Roucek Prairie allows following entities to bill medicare on her behalf.

Entity Name	Albany Medical College
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386

Entity Name	W Bruce Clark Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396959110 PECOS PAC ID: 6608839162 Enrollment ID: O20041108000166

Entity Name	Albany Medical College
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621

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. Dr Kathy Roucek Prairie 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
Dr Kathy Roucek Prairie, FNP 8 Abbey Ct, Clifton Park, NY 12065-1626 Ph: (518) 265-4258	Dr Kathy Roucek Prairie, FNP 8 Abbey Ct, Clifton Park, NY 12065-1626 Ph: (518) 265-4258

Reviews and Comments

Nurse Practitioner Nurses in Clifton Park, NY

Maegan Majewski, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Old Plank Rd, Clifton Park, NY 12065 Phone: 518-275-3720
Erin Kathryn Student, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Tallow Wood Dr, Clifton Park, NY 12065 Phone: 518-373-4444
Denise Riley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Emma Ln Ste 402, Clifton Park, NY 12065 Phone: 518-557-1712 Fax: 518-557-1713
Julia M Gross, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 954 Route 146, Clifton Park, NY 12065 Phone: 518-952-4000 Fax: 518-280-3053
Mrs. Christine Denison Roe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Crossings Blvd, Suite One, Clifton Park, NY 12065 Phone: 518-831-4434 Fax: 518-831-4439
Mr. Arlene Pericak, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 942a Route 146, Clifton Park, NY 12065 Phone: 518-371-8000 Fax: 518-371-5338
Mrs. Roberta Lynn Canavan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42 Summerlin Drive, Clifton Park, NY 12065 Phone: 518-373-0080

Dr Kathy Roucek Prairie, FNP - Medicare Nurse Practitioner in Clifton Park, NY