Kathleen Diane Anderson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mount Upton, New York. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chenango Memorial Hospital Inc and her current practice location is
152 Old State Highway 8 N, Mount Upton, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 867-4018.
Kathleen Diane Anderson is licensed to practice in New York (license number 341758) 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 1457889800.
Provider's Profile
| Full Name | Kathleen Diane Anderson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 152 Old State Highway 8 N, Mount Upton, New York |
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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 Diane Anderson graduated from nursing school in 2017
NPI Data:
- NPI Number: 1457889800
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284909359
- Enrollment ID: I20170929001849
Medical Identifiers
Medical identifiers for Kathleen Diane Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457889800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 341758 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chenango Memorial Hospital Inc | 7517853633 | 87 |
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 Diane Anderson allows following entities to bill medicare on her behalf.
| Entity Name | Chenango Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770593956
PECOS PAC ID: 7517853633
Enrollment ID: O20040225000911 |
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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 Diane Anderson 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 Diane Anderson, FNP
152 Old State Highway 8 N,
Mount Upton, NY 13809-4230
Ph: (607) 867-4018 | Kathleen Diane Anderson, FNP
152 Old State Highway 8 N,
Mount Upton, NY 13809-4230
Ph: (607) 867-4018 |
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