Kym M Cannizzaro, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Clarence, New York. Her current practice location is
9097 Main St, Clarence, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 759-4938.
Kym M Cannizzaro is licensed to practice in New York (license number 308214) 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 1861912206.
Provider's Profile
| Full Name | Kym M Cannizzaro |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 9097 Main St, Clarence, New York |
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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: 1861912206
- Provider Enumeration Date: 06/27/2017
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315283678
- Enrollment ID: I20190108002969
Medical Identifiers
Medical identifiers for Kym M Cannizzaro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861912206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 308214 (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. Kym M Cannizzaro allows following entities to bill medicare on her behalf.
| Entity Name | Dent Neurologic Group Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497850911
PECOS PAC ID: 1951298033
Enrollment ID: O20040303000238 |
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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. Kym M Cannizzaro 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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Kym M Cannizzaro, NP
9097 Main St,
Clarence, NY 14031-1965
Ph: (716) 759-4938 | Kym M Cannizzaro, NP
9097 Main St,
Clarence, NY 14031-1965
Ph: (716) 759-4938 |
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