Kathlyen Mora, in New York, NY - Medicare Nurse Practitioner

Kathlyen Mora, is a medicare enrolled "Nurse Practitioner - Adult Health" in New York, New York. Her current practice location is 408 W 14th St Ste 201, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 530-0639.

Kathlyen Mora is licensed to practice in New York (license number F308216) 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 1861902702.

Contact Information

	Kathlyen Mora,
	408 W 14th St Ste 201, New York, NY 10014
	(212) 530-0639
	(212) 867-4353

Map and Direction

Provider's Profile

Full Name	Kathlyen Mora
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	408 W 14th St Ste 201, New York, 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: 1861902702
Provider Enumeration Date: 10/05/2017
Last Update Date: 08/05/2022

Medicare PECOS Information:

PECOS PAC ID: 9436415403
Enrollment ID: I20230817000262

Medical Identifiers

Medical identifiers for Kathlyen Mora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861902702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F308216 (New York)	Primary

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. Kathlyen Mora 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
Kathlyen Mora, 129 W 29th St Fl 10, New York, NY 10001-5105 Ph: (415) 658-6791	Kathlyen Mora, 408 W 14th St Ste 201, New York, NY 10014 Ph: (212) 530-0639

Reviews and Comments

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Kathlyen Mora, - Medicare Nurse Practitioner in New York, NY