Erin Douthit, AGNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Canaseraga, New York. Her current practice location is
12 N Church St, Canaseraga, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 545-8333.
Erin Douthit is licensed to practice in New York (license number 310759) 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 1588391825.
Provider's Profile
| Full Name | Erin Douthit |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 12 N Church St, Canaseraga, 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: 1588391825
- Provider Enumeration Date: 08/05/2022
- Last Update Date: 08/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426424458
- Enrollment ID: I20221017002386
Medical Identifiers
Medical identifiers for Erin Douthit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588391825 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 310759 (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. Erin Douthit allows following entities to bill medicare on her behalf.
| Entity Name | University Of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019 |
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| Entity Name | Tri-county Family Medicine Program, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588649503
PECOS PAC ID: 4183699937
Enrollment ID: O20040826000720 |
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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. Erin Douthit 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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Erin Douthit, AGNP-C
347 Fetzner Rd,
Rochester, NY 14626-2249
Ph: (585) 472-0620 | Erin Douthit, AGNP-C
12 N Church St,
Canaseraga, NY 14822-9721
Ph: (607) 545-8333 |
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