Miss Kati M Derevere, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mount Desert, Maine. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Health Affiliates Maine, Llc and her current practice location is
1049 Main Street, Unit 2s, Mount Desert, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 244-4111.
Miss Kati M Derevere is licensed to practice in Maine (license number CNP111084) 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 1861770166.
Provider's Profile
| Full Name | Miss Kati M Derevere |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 1049 Main Street, Mount Desert, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Kati M Derevere graduated from nursing school in 2011
NPI Data:
- NPI Number: 1861770166
- Provider Enumeration Date: 08/03/2011
- Last Update Date: 12/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 2668649518
- Enrollment ID: I20120118000535
Medical Identifiers
Medical identifiers for Miss Kati M Derevere such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861770166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RO49940 (Maine) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP111084 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Health Affiliates Maine, Llc | 1951594076 | 121 |
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. Miss Kati M Derevere allows following entities to bill medicare on her behalf.
| Entity Name | Health Affiliates Maine, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932413556
PECOS PAC ID: 1951594076
Enrollment ID: O20101021000912 |
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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. Miss Kati M Derevere 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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Miss Kati M Derevere, PMHNP
Po Box 687,
Mount Desert, ME 04660-0687
Ph: (207) 244-4111 | Miss Kati M Derevere, PMHNP
1049 Main Street, Unit 2s,
Mount Desert, ME 04660
Ph: (207) 244-4111 |
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