Kathleen Speese, CRNP, WHNP-BC is a medicare enrolled "Obstetrics & Gynecology" in Boston, Massachusetts. Her current practice location is
165 Dartmouth St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 657-6444.
Kathleen Speese is licensed to practice in Massachusetts (license number RN2375057) 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 1710633649.
Provider's Profile
| Full Name | Kathleen Speese |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 165 Dartmouth St, Boston, Massachusetts |
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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: 1710633649
- Provider Enumeration Date: 03/01/2022
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729455035
- Enrollment ID: I20221028002469
Medical Identifiers
Medical identifiers for Kathleen Speese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710633649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | SP025060 (Pennsylvania) | Secondary |
| 207V00000X | Obstetrics & Gynecology | RN2375057 (Massachusetts) | 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 Speese allows following entities to bill medicare on her behalf.
| Entity Name | Jefferson University Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326093675
PECOS PAC ID: 7911819180
Enrollment ID: O20040225000232 |
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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 Speese 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 Speese, CRNP, WHNP-BC
30 Magnus Ave,
Somerville, MA 02143-3807
Ph: (267) 808-8996 | Kathleen Speese, CRNP, WHNP-BC
165 Dartmouth St,
Boston, MA 02116-5123
Ph: (617) 657-6444 |
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