Kathleen Ann Dively, ARNP in Louisville, KY - Medicare Nurse Practitioner

Kathleen Ann Dively, ARNP is a medicare enrolled "Nurse Practitioner" in Louisville, Kentucky. Her current practice location is 800 Zorn Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 227-2285.

Kathleen Ann Dively is licensed to practice in Kentucky (license number 2743P) 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 1639137763.

Contact Information

	Kathleen Ann Dively, ARNP
	800 Zorn Ave, Louisville, KY 40206-1433
	(502) 227-2285
	(502) 227-1465

Map and Direction

Provider's Profile

Full Name	Kathleen Ann Dively
Gender	Female
Speciality	Nurse Practitioner
Location	800 Zorn Ave, 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: 1639137763
Provider Enumeration Date: 05/01/2006
Last Update Date: 08/17/2021

Medicare PECOS Information:

PECOS PAC ID: 1951475128
Enrollment ID: I20080806000286

Medical Identifiers

Medical identifiers for Kathleen Ann Dively such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639137763	NPI	-	NPPES
64314107	Medicaid	KY
7100029980	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2743P (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 Ann Dively allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Of The Bluegrass, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942463096 PECOS PAC ID: 4183791700 Enrollment ID: O20080924000350

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210209002652

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 Ann Dively 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 Ann Dively, ARNP 800 Zorn Ave, Louisville, KY 40206-1433 Ph: () -	Kathleen Ann Dively, ARNP 800 Zorn Ave, Louisville, KY 40206-1433 Ph: (502) 227-2285

Reviews and Comments

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Kathleen Ann Dively, ARNP - Medicare Nurse Practitioner in Louisville, KY