Kathleen Anne O Callahan, NP is a medicare enrolled "Nurse Practitioner - Family" in Banger, Maine. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Pain Management Pc and her current practice location is
Northeast Pain Management, 1365 Broadway, Banger, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 942-6226.
Kathleen Anne O Callahan is licensed to practice in Maine (license number CNP141113) 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 1902976384.
Provider's Profile
| Full Name | Kathleen Anne O Callahan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 20 Years |
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| Location | Northeast Pain Management, Banger, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kathleen Anne O Callahan graduated from nursing school in 2004
NPI Data:
- NPI Number: 1902976384
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 09/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193794774
- Enrollment ID: I20150915000224
Medical Identifiers
Medical identifiers for Kathleen Anne O Callahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902976384 | NPI | - | NPPES |
| NP4250 | Other | MA | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP149141 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP141113 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northeast Pain Management Pc | 1759355860 | 12 |
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 O Callahan allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Pain Management Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578579868
PECOS PAC ID: 1759355860
Enrollment ID: O20040824001047 |
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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 O Callahan 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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Kathleen Anne O Callahan, NP
140 Chandler St,
Pittsfield, ME 04967-3711
Ph: (207) 487-9244 | Kathleen Anne O Callahan, NP
Northeast Pain Management, 1365 Broadway,
Banger, ME 04401
Ph: (207) 942-6226 |
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