Kathleen B Berghausen, NP in Louisville, KY - Medicare Nurse Practitioner

Kathleen B Berghausen, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Louisville, Kentucky. Her current practice location is 417 Benjamin Ln Ste 101, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 289-9306.

Kathleen B Berghausen is licensed to practice in Kentucky (license number 3015109) 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 1255948154.

Contact Information

	Kathleen B Berghausen, NP
	417 Benjamin Ln Ste 101, Louisville, KY 40222-4939
	(502) 289-9306
	(502) 385-6687

Map and Direction

Provider's Profile

Full Name	Kathleen B Berghausen
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	417 Benjamin Ln Ste 101, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255948154
Provider Enumeration Date: 09/25/2020
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2961898804
Enrollment ID: I20231010001325

Medical Identifiers

Medical identifiers for Kathleen B Berghausen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255948154	NPI	-	NPPES
3015109	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	3015109 (Kentucky)	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 B Berghausen allows following entities to bill medicare on her behalf.

Entity Name	Ava Health And Wellness Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083491138 PECOS PAC ID: 1052707999 Enrollment ID: O20231010001133

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 B Berghausen 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 B Berghausen, NP 9642 Brownsboro Rd #154, Louisville, KY 40241-8042 Ph: (502) 558-0916	Kathleen B Berghausen, NP 417 Benjamin Ln Ste 101, Louisville, KY 40222-4939 Ph: (502) 289-9306

Reviews and Comments

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Kathleen B Berghausen, NP - Medicare Nurse Practitioner in Louisville, KY