Katherine Rose Hiles, PMHNP-BC - Medicare Nurse Practitioner in Albany, NY

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Katherine Rose Hiles, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Albany, New York. Her current practice location is 315 S Manning Blvd, Albany, New York. You can reach out to her office (for appointments etc.) via phone at (518) 525-1306.

Katherine Rose Hiles is licensed to practice in New York (license number 402928) 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 1790306579.

Contact Information

Katherine Rose Hiles, PMHNP-BC
315 S Manning Blvd,
Albany, NY 12208-1707
(518) 525-1306
Not Available

Map and Direction




Provider's Profile

Full NameKatherine Rose Hiles
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location315 S Manning Blvd, Albany, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790306579
  • Provider Enumeration Date: 05/03/2020
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0244642908
  • Enrollment ID: I20201222001448

Medical Identifiers

Medical identifiers for Katherine Rose Hiles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790306579NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 402928 (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. Katherine Rose Hiles allows following entities to bill medicare on her behalf.
Entity NameSamaritan Hospital Of Troy, New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043267727
PECOS PAC ID: 6507770070
Enrollment ID: O20031118000782
Entity NameSt Peters Hospital Of The City Of Albany
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518042357
PECOS PAC ID: 2668460072
Enrollment ID: O20040504001301

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. Katherine Rose Hiles 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 AddressPractice Location Address
Katherine Rose Hiles, PMHNP-BC
Po Box 14890,
Albany, NY 12212-4890

Ph: (518) 525-5634		Katherine Rose Hiles, PMHNP-BC
315 S Manning Blvd,
Albany, NY 12208-1707

Ph: (518) 525-1306

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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