Mrs Kelly Ann Harsch, NP in Port Jefferson Station, NY

Mrs Kelly Ann Harsch, NP is a medicare enrolled "Nurse Practitioner - Family" in Port Jefferson Station, New York. Her current practice location is 815 Hallock Ave, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 828-3036.

Mrs Kelly Ann Harsch is licensed to practice in New York (license number F350202-01) 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 1689380081.

Contact Information

	Mrs Kelly Ann Harsch, NP
	815 Hallock Ave, Port Jefferson Station, NY 11776-1244
	(631) 828-3036
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Ann Harsch
Gender	Female
Speciality	Nurse Practitioner - Family
Location	815 Hallock Ave, Port Jefferson Station, 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: 1689380081
Provider Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 2365898897
Enrollment ID: I20231019002188

Medical Identifiers

Medical identifiers for Mrs Kelly Ann Harsch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689380081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F350202-01 (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. Mrs Kelly Ann Harsch allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Mrs Kelly Ann Harsch 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
Mrs Kelly Ann Harsch, NP 15 Enfield Ln, Kings Park, NY 11754-4030 Ph: (631) 457-9224	Mrs Kelly Ann Harsch, NP 815 Hallock Ave, Port Jefferson Station, NY 11776-1244 Ph: (631) 828-3036

Reviews and Comments

Nurse Practitioner Nurses in Port Jefferson Station, NY

Gia Aslanidis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1404 Sara Cir, Port Jefferson Station, NY 11776 Phone: 516-563-1147
Uma Narayana, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200
Jaime Draghi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 Rte 347, Port Jefferson Station, NY 11776 Phone: 631-751-3000
Marina Dillon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson Station, NY 11777 Phone: 631-805-2150
Lori Jean Conlin, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 316-897-8006 Fax: 631-751-0506
Ruth Bochat, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Jarvin Rd, Port Jefferson Station, NY 11776 Phone: 929-429-6861
Mrs. Julie Ann Pablo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 126 Greenhaven Dr, Port Jefferson Station, NY 11776 Phone: 631-240-9833

Mrs Kelly Ann Harsch, NP - Medicare Nurse Practitioner in Port Jefferson Station, NY