Kathleen M Mcloughlin, CRNP - Medicare Nurse Practitioner in New York, NY

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Kathleen M Mcloughlin, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in New York, New York. Her current practice location is 3959 Broadway, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 305-5437.

Kathleen M Mcloughlin is licensed to practice in New York (license number 382913) 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 1306340344.

Contact Information

Kathleen M Mcloughlin, CRNP
3959 Broadway,
New York, NY 10032-1559
(212) 305-5437
Not Available

Map and Direction




Provider's Profile

Full NameKathleen M Mcloughlin
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location3959 Broadway, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306340344
  • Provider Enumeration Date: 03/23/2018
  • Last Update Date: 12/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4486071289
  • Enrollment ID: I20200825001910

Medical Identifiers

Medical identifiers for Kathleen M Mcloughlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306340344NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics SP018704 (Pennsylvania)Secondary
363LP0200XNurse Practitioner - Pediatrics 382913 (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 M Mcloughlin allows following entities to bill medicare on her behalf.
Entity NameAdvocare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770538696
PECOS PAC ID: 3678562188
Enrollment ID: O20111025000270

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 M Mcloughlin 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 AddressPractice Location Address
Kathleen M Mcloughlin, CRNP
255 W Lancaster Ave,
Paoli, PA 19301-1763

Ph: (610) 334-8341		Kathleen M Mcloughlin, CRNP
3959 Broadway,
New York, NY 10032-1559

Ph: (212) 305-5437

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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