Kathleen Udovich, APRN in Virginia, MN - Medicare Nurse Practitioner

Kathleen Udovich, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Virginia, Minnesota. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Range Mental Health Center and her current practice location is 624 13th St S, Virginia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 749-2881.

Kathleen Udovich is licensed to practice in Minnesota (license number 9004) 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 1386398139.

Contact Information

	Kathleen Udovich, APRN
	624 13th St S, Virginia, MN 55792-3149
	(218) 749-2881
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathleen Udovich
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	624 13th St S, Virginia, Minnesota
Accepts Medicare Assignments	Yes. 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 Udovich graduated from nursing school in 2021

NPI Data:

NPI Number: 1386398139
Provider Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 0244626067
Enrollment ID: I20220404002870

Medical Identifiers

Medical identifiers for Kathleen Udovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386398139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9004 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Range Mental Health Center	3173434628	8

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 Udovich allows following entities to bill medicare on her behalf.

Entity Name	Range Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457452823 PECOS PAC ID: 3173434628 Enrollment ID: O20040930000462

Entity Name	White Iron Behavioral Health Services, Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619665379 PECOS PAC ID: 2163870965 Enrollment ID: O20231204001947

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 Udovich 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
Kathleen Udovich, APRN 507 E Harvey St, Ely, MN 55731-1445 Ph: (218) 235-1108	Kathleen Udovich, APRN 624 13th St S, Virginia, MN 55792-3149 Ph: (218) 749-2881

Reviews and Comments

Nurse Practitioner Nurses in Virginia, MN

Jennifer Lynn Kober, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150
Mrs. Erin R Thielbar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8373 Unity Dr, Virginia, MN 55792 Phone: 218-748-7480 Fax: 218-748-7488
Brooke Elizabeth Pettinelli, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Duluth Clinic-virginia, Virginia, MN 55792 Phone: 218-741-0150
Sara Luoma, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 9th St N, Essentia Health Virginia Medical Arts Clinic, Virginia, MN 55792 Phone: 218-741-7750
Sara J Bruemmer, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8373 Unity Dr, Virginia, MN 55792 Phone: 218-748-7480
Pamela J Jarvis, MA RN PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 Phone: 218-749-2881 Fax: 218-749-3806
Drew Hayes, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-305-0000

Kathleen Udovich, APRN - Medicare Nurse Practitioner in Virginia, MN