Kathleen Seretan-hateley Macintyre, MD - Medicare Emergency Medicine in Los Angeles, CA

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Kathleen Seretan-hateley Macintyre, MD is a medicare enrolled "Emergency Medicine" physician in Los Angeles, California. She went to Ohio State University College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Providence Saint Johns Medical Foundation, The Regents Of The University Of California, Providence Facey Medical Foundation, Exer Medical Corporation and her current practice location is 10250 Santa Monica Blvd Ste 2440, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 286-0122.

Kathleen Seretan-hateley Macintyre is licensed to practice in California (license number A161097) 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 1104211606.

Contact Information

Kathleen Seretan-hateley Macintyre, MD
10250 Santa Monica Blvd Ste 2440,
Los Angeles, CA 90067-6593
(310) 286-0122
Not Available

Map and Direction




Physician's Profile

Full NameKathleen Seretan-hateley Macintyre
GenderFemale
SpecialityEmergency Medicine
Experience9 Years
Location10250 Santa Monica Blvd Ste 2440, Los Angeles, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Seretan-hateley Macintyre attended and graduated from Ohio State University College Of Medicine in 2015
  NPI Data:
  • NPI Number: 1104211606
  • Provider Enumeration Date: 04/01/2015
  • Last Update Date: 01/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618232224
  • Enrollment ID: I20190520000994

Medical Identifiers

Medical identifiers for Kathleen Seretan-hateley Macintyre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104211606NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A161097 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Saint Johns Medical Foundation0840548624315
The Regents Of The University Of California13552485841177
Providence Facey Medical Foundation3173436276282
Exer Medical Corporation9032359534230

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. Kathleen Seretan-hateley Macintyre allows following entities to bill medicare on her behalf.
Entity NameProvidence Facey Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710031588
PECOS PAC ID: 3173436276
Enrollment ID: O20031105000822
Entity NameSaint Johns Emergency Medicine Specialists Inc A Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609888940
PECOS PAC ID: 9335046291
Enrollment ID: O20031217001093
Entity NameThe Regents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235107566
PECOS PAC ID: 1355248584
Enrollment ID: O20031223000439
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameExer Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588901532
PECOS PAC ID: 9032359534
Enrollment ID: O20130705000153
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891110888
PECOS PAC ID: 5294958815
Enrollment ID: O20140528001538
Entity NameProvidence Saint Johns Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518438712
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904

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. Kathleen Seretan-hateley Macintyre 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 AddressPractice Location Address
Kathleen Seretan-hateley Macintyre, MD
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631

Ph: () -		Kathleen Seretan-hateley Macintyre, MD
10250 Santa Monica Blvd Ste 2440,
Los Angeles, CA 90067-6593

Ph: (310) 286-0122

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.