Kathleen Fava, ACNP-BC in Providence, RI - Medicare Nurse Practitioner

Kathleen Fava, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Providence, Rhode Island. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifespan Physician Group Inc and her current practice location is 593 Eddy Street, Jane Brown, 2 South, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-5943.

Kathleen Fava is licensed to practice in Rhode Island (license number NPP37680) 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 1053682765.

Contact Information

	Kathleen Fava, ACNP-BC
	593 Eddy Street, Jane Brown, 2 South, Providence, RI 02903-4923
	(401) 444-5943
	(401) 444-4216

Map and Direction

Provider's Profile

Full Name	Kathleen Fava
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	593 Eddy Street, Jane Brown, 2 South, Providence, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Fava graduated from nursing school in 2011

NPI Data:

NPI Number: 1053682765
Provider Enumeration Date: 01/26/2012
Last Update Date: 12/05/2018

Medicare PECOS Information:

PECOS PAC ID: 0042474306
Enrollment ID: I20120618000315

Medical Identifiers

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

Identifier	Type	State	Issuer
1053682765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN34380 (Rhode Island)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	NPP37680 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rhode Island Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifespan Physician Group Inc	2567455082	634

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 Fava allows following entities to bill medicare on her behalf.

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368

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 Fava 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 Fava, ACNP-BC 117 Ellenfield St Ste 101, Providence, RI 02905-4513 Ph: (401) 444-6779	Kathleen Fava, ACNP-BC 593 Eddy Street, Jane Brown, 2 South, Providence, RI 02903-4923 Ph: (401) 444-5943

Reviews and Comments

Nurse Practitioner Nurses in Providence, RI

Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100

Kathleen Fava, ACNP-BC - Medicare Nurse Practitioner in Providence, RI