Kathleen Judith Hergert, FNP in Fayetteville, NY

Kathleen Judith Hergert, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, New York. Her current practice location is 510 Towne Dr, Fayetteville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 627-0448.

Kathleen Judith Hergert is licensed to practice in New York (license number 354466) 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 1164264321.

Contact Information

	Kathleen Judith Hergert, FNP
	510 Towne Dr, Fayetteville, NY 13066-1331
	(315) 627-0448
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathleen Judith Hergert
Gender	Female
Speciality	Nurse Practitioner - Family
Location	510 Towne Dr, Fayetteville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164264321
Provider Enumeration Date: 06/10/2024
Last Update Date: 06/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1850839580
Enrollment ID: I20240813002869

Medical Identifiers

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

Identifier	Type	State	Issuer
1164264321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	354466 (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 Judith Hergert allows following entities to bill medicare on her behalf.

Entity Name	Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063468239 PECOS PAC ID: 3274445796 Enrollment ID: O20031104000051

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 Judith Hergert 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 Judith Hergert, FNP 510 Towne Dr, Fayetteville, NY 13066-1331 Ph: () -	Kathleen Judith Hergert, FNP 510 Towne Dr, Fayetteville, NY 13066-1331 Ph: (315) 627-0448

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, NY

Mary Oot, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-663-0500
Ms. Hannah Joan Walsh, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878
Theresa Baxter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 221 Hunt Dr, Fayetteville, NY 13066 Phone: 315-637-8148
Jayme K Schreck, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 Towne Dr, Fayetteville, NY 13066 Phone: 315-663-0500 Fax: 315-663-0514
Taylor Fisher, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6870 E Genesee St, Fayetteville, NY 13066 Phone: 315-679-4367
Theresa M. Setter, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 E Genesee St, Fayetteville, NY 13066 Phone: 315-251-1234 Fax: 315-251-1144
Mrs. Jenaye Karin Broe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr Ste 110, Fayetteville, NY 13066 Phone: 315-663-0100

Kathleen Judith Hergert, FNP - Medicare Nurse Practitioner in Fayetteville, NY