Kathleen L Hausman, CNM is a medicare enrolled "Advanced Practice Midwife" in Newark, New York. Her current practice location is
1250 Driving Park Ave, Newark, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 332-2427.
Kathleen L Hausman is licensed to practice in New York (license number 001003) 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 1154421261.
Provider's Profile
| Full Name | Kathleen L Hausman |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1250 Driving Park Ave, Newark, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154421261
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082620950
- Enrollment ID: I20210120003026
Medical Identifiers
Medical identifiers for Kathleen L Hausman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154421261 | NPI | - | NPPES |
| 3125792 | Medicaid | NH | |
| 6705638 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | R872773 (Mississippi) | Secondary |
| 367A00000X | Advanced Practice Midwife | 101.0134715 (Vermont) | Secondary |
| 367A00000X | Advanced Practice Midwife | 001003 (New York) | 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 L Hausman allows following entities to bill medicare on her behalf.
| Entity Name | Northeastern Vermont Regional Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831132299
PECOS PAC ID: 3678481405
Enrollment ID: O20060324000349 |
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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 L Hausman 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 L Hausman, CNM
100 Kings Hwy S,
Rochester, NY 14617-5504
Ph: (585) 922-1900 | Kathleen L Hausman, CNM
1250 Driving Park Ave,
Newark, NY 14513-1057
Ph: (315) 332-2427 |
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