Katushia Paul, in Staten Island, NY - Medicare Nurse Practitioner

Katushia Paul, is a medicare enrolled "Nurse Practitioner - Adult Health" in Staten Island, New York. Her current practice location is 774 Manor Rd, Suite 204, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 496-2542.

Katushia Paul is licensed to practice in New York (license number 308119) 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 1396285185.

Contact Information

	Katushia Paul,
	774 Manor Rd, Suite 204, Staten Island, NY 10314-7038
	(718) 496-2542
	Not Available

Map and Direction

Provider's Profile

Full Name	Katushia Paul
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	774 Manor Rd, Staten Island, 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: 1396285185
Provider Enumeration Date: 02/28/2017
Last Update Date: 02/28/2017

Medicare PECOS Information:

PECOS PAC ID: 0941558944
Enrollment ID: I20180808000889

Medical Identifiers

Medical identifiers for Katushia Paul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396285185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	308119 (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. Katushia Paul allows following entities to bill medicare on her behalf.

Entity Name	Visiting Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922752880 PECOS PAC ID: 4082008784 Enrollment ID: O20220223000406

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. Katushia Paul 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
Katushia Paul, 774 Manor Rd, Suite 204, Staten Island, NY 10314-7038 Ph: () -	Katushia Paul, 774 Manor Rd, Suite 204, Staten Island, NY 10314-7038 Ph: (718) 496-2542

Reviews and Comments

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Katushia Paul, - Medicare Nurse Practitioner in Staten Island, NY