Katherine Charlotte Okoniewski, PHD in Durham, NC - Medicare Psychologist Provider

Katherine Charlotte Okoniewski, PHD is a medicare enrolled "Psychologist - Intellectual & Developmental Disabilities" provider in Durham, North Carolina. Her current practice location is 5836 Fayetteville Rd Ste 202, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 502-1663.

Katherine Charlotte Okoniewski is licensed to practice in North Carolina (license number 5862) 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 1477928620.

Contact Information

	Katherine Charlotte Okoniewski, PHD
	5836 Fayetteville Rd Ste 202, Durham, NC 27713-6692
	(919) 502-1663
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine Charlotte Okoniewski
Gender	Female
Speciality	Psychologist - Intellectual & Developmental Disabilities
Location	5836 Fayetteville Rd Ste 202, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477928620
Provider Enumeration Date: 12/13/2015
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1355799727
Enrollment ID: I20231122002708

Medical Identifiers

Medical identifiers for Katherine Charlotte Okoniewski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477928620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	5862 (North Carolina)	Secondary
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	5862 (North Carolina)	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. Katherine Charlotte Okoniewski allows following entities to bill medicare on her behalf.

Entity Name	Adolescent,child & Adult Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457519514 PECOS PAC ID: 3375714777 Enrollment ID: O20110915000090

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. Katherine Charlotte Okoniewski 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
Katherine Charlotte Okoniewski, PHD 5836 Fayetteville Rd Ste 202, Durham, NC 27713-6692 Ph: (919) 502-1663	Katherine Charlotte Okoniewski, PHD 5836 Fayetteville Rd Ste 202, Durham, NC 27713-6692 Ph: (919) 502-1663

Reviews and Comments

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Katherine Charlotte Okoniewski, PHD - Medicare Psychologist in Durham, NC