Kathleen Anne Evangelista, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winthrop, Massachusetts. Her current practice location is
58 Orlando Ave, Winthrop, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 846-1982.
Kathleen Anne Evangelista is licensed to practice in Massachusetts (license number RN213785) 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 1548564149.
Provider's Profile
Full Name | Kathleen Anne Evangelista |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 58 Orlando Ave, Winthrop, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548564149
- Provider Enumeration Date: 12/22/2010
- Last Update Date: 12/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 4789866674
- Enrollment ID: I20110314000994
Medical Identifiers
Medical identifiers for Kathleen Anne Evangelista such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548564149 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | RN213785 (Massachusetts) | 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. Kathleen Anne Evangelista allows following entities to bill medicare on her behalf.
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
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Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015 |
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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. Kathleen Anne Evangelista 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 |
Kathleen Anne Evangelista, CRNA 58 Orlando Ave, Winthrop, MA 02152-2248 Ph: (617) 846-1982 | Kathleen Anne Evangelista, CRNA 58 Orlando Ave, Winthrop, MA 02152-2248 Ph: (617) 846-1982 |
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