Kathleen O Demutis, CRNP - Medicare Nurse Practitioner in Paoli, PA

Kathleen O Demutis, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Paoli, Pennsylvania. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Main Line Healthcare and her current practice location is 255 W Lancaster Ave Ste 330, Paoli, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 786-3200.

Kathleen O Demutis is licensed to practice in Pennsylvania (license number VP004650C) 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 1184638918.

Contact Information

Kathleen O Demutis, CRNP
255 W Lancaster Ave Ste 330,
Paoli, PA 19301-1766
(610) 786-3200
(610) 786-3208

Map and Direction




Provider's Profile

Full NameKathleen O Demutis
GenderFemale
SpecialityNurse Practitioner
Experience27 Years
Location255 W Lancaster Ave Ste 330, Paoli, Pennsylvania
Accepts Medicare AssignmentsYes. 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 O Demutis graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1184638918
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951522242
  • Enrollment ID: I20141030001530

Medical Identifiers

Medical identifiers for Kathleen O Demutis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184638918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner VP004650C (Pennsylvania)Secondary
363LA2200XNurse Practitioner - Adult Health VP004650C (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Paoli HospitalPaoli, PAHospital
Main Line Hospital LankenauWynnewood, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Main Line Healthcare1951215201907

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 O Demutis allows following entities to bill medicare on her behalf.
Entity NameMain Line Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373

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 O Demutis 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 O Demutis, CRNP
255 W. Lancaster Ave, Suite 330,
Paoli, PA 19301

Ph: (610) 786-3200
Kathleen O Demutis, CRNP
255 W Lancaster Ave Ste 330,
Paoli, PA 19301-1766

Ph: (610) 786-3200

Reviews and Comments


Nurse Practitioner Nurses in Paoli, PA

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Phone: 610-251-0300    Fax: 610-251-0304
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Practice Location: 2 Industrial Blvd Ste 200, Paoli, PA 19301
Phone: 610-647-2400    Fax: 610-647-3902

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.