Katelyn Alyssa Doherty, NP in East Setauket, NY

Katelyn Alyssa Doherty, NP is a medicare enrolled "Nurse Practitioner" in East Setauket, New York. Her current practice location is 45 Research Way Ste 108, East Setauket, New York. You can reach out to her office (for appointments etc.) via phone at (631) 941-2000.

Katelyn Alyssa Doherty is licensed to practice in New York (license number F309820-01) 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 1851991194.

Contact Information

	Katelyn Alyssa Doherty, NP
	45 Research Way Ste 108, East Setauket, NY 11733-6401
	(631) 941-2000
	(631) 941-2010

Map and Direction

Provider's Profile

Full Name	Katelyn Alyssa Doherty
Gender	Female
Speciality	Nurse Practitioner
Location	45 Research Way Ste 108, East Setauket, 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: 1851991194
Provider Enumeration Date: 10/27/2020
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 2567877327
Enrollment ID: I20210209002081

Medical Identifiers

Medical identifiers for Katelyn Alyssa Doherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851991194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F309820-01 (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. Katelyn Alyssa Doherty allows following entities to bill medicare on her behalf.

Entity Name	Stony Brook Internists University Faculty Practice Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295778371 PECOS PAC ID: 9133019821 Enrollment ID: O20040317000450

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. Katelyn Alyssa Doherty 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
Katelyn Alyssa Doherty, NP 5 Eva Ln, Farmingville, NY 11738-1010 Ph: (631) 624-7943	Katelyn Alyssa Doherty, NP 45 Research Way Ste 108, East Setauket, NY 11733-6401 Ph: (631) 941-2000

Reviews and Comments

Nurse Practitioner Nurses in East Setauket, NY

Sandra Thomas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-724-4664
Margaret A Cariola, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Nesconset Hwy, Ste 101, East Setauket, NY 11733 Phone: 631-751-8700 Fax: 631-751-5971
Ms. Jennifer Griffin, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4686
Ms. Jennifer M Mulvey Fitzgerald, NP, CDE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26 Research Way, Suite 1, East Setauket, NY 11733 Phone: 914-649-9993
Frances M Tanzella, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 Research Way, East Setauket, NY 11733 Phone: 631-444-4907 Fax: 631-444-4189
Mrs. Kristen Eileen Alarcon, F.N,P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4686
Ms. Kelly Ann O'toole, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Technology Dr Ste 210, East Setauket, NY 11733 Phone: 631-331-1506 Fax: 631-331-5364

Katelyn Alyssa Doherty, NP - Medicare Nurse Practitioner in East Setauket, NY