Ellen Kudrow, FNP-BC in New York, NY - Medicare Nurse Practitioner

Ellen Kudrow, FNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New York, New York. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Revived Soul Medical Pc and her current practice location is 525 E 68th St, M-404, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 746-5156.

Ellen Kudrow is licensed to practice in New York (license number 403317) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689054199.

Contact Information

	Ellen Kudrow, FNP-BC
	525 E 68th St, M-404, New York, NY 10065-4870
	(212) 746-5156
	(212) 746-8223

Map and Direction

Provider's Profile

Full Name	Ellen Kudrow
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	525 E 68th St, New York, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellen Kudrow graduated from nursing school in 2014

NPI Data:

NPI Number: 1689054199
Provider Enumeration Date: 06/01/2015
Last Update Date: 05/23/2023

Medicare PECOS Information:

PECOS PAC ID: 6204112055
Enrollment ID: I20210125001374

Medical Identifiers

Medical identifiers for Ellen Kudrow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689054199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	403317 (New York)	Primary
363LF0000X	Nurse Practitioner - Family	F339008-1 (New York)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revived Soul Medical Pc	0749466266	13

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. Ellen Kudrow allows following entities to bill medicare on her behalf.

Entity Name	Revived Soul Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821389941 PECOS PAC ID: 0749466266 Enrollment ID: O20110518000539

Entity Name	Ellen Kudrow Np In Psychiatry And Np In Family Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548955586 PECOS PAC ID: 6507224722 Enrollment ID: O20230621000877

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. Ellen Kudrow 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
Ellen Kudrow, FNP-BC 1630 E 22nd St, Brooklyn, NY 11210-5125 Ph: (718) 915-6450	Ellen Kudrow, FNP-BC 525 E 68th St, M-404, New York, NY 10065-4870 Ph: (212) 746-5156

Reviews and Comments

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Ellen Kudrow, FNP-BC - Medicare Nurse Practitioner in New York, NY