Katlyn Ann Conville, NP in Port Jefferson, NY

Katlyn Ann Conville, NP is a medicare enrolled "Nurse Practitioner - Family" in Port Jefferson, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice John T Mather Memorial Hospital and her current practice location is 75 N Country Rd, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 686-2565.

Katlyn Ann Conville is licensed to practice in New York (license number 344632) 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 1023679503.

Contact Information

	Katlyn Ann Conville, NP
	75 N Country Rd, Port Jefferson, NY 11777-2119
	(631) 686-2565
	Not Available

Map and Direction

Provider's Profile

Full Name	Katlyn Ann Conville
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	75 N Country Rd, Port Jefferson, New York
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:

Katlyn Ann Conville attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2019

NPI Data:

NPI Number: 1023679503
Provider Enumeration Date: 06/25/2019
Last Update Date: 06/25/2019

Medicare PECOS Information:

PECOS PAC ID: 3072842681
Enrollment ID: I20190906002830

Medical Identifiers

Medical identifiers for Katlyn Ann Conville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023679503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	344632 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John T Mather Memorial Hospital	1254237753	142

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. Katlyn Ann Conville allows following entities to bill medicare on her behalf.

Entity Name	John T Mather Memorial Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1922486182 PECOS PAC ID: 1254237753 Enrollment ID: O20150804004898

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. Katlyn Ann Conville 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
Katlyn Ann Conville, NP 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: () -	Katlyn Ann Conville, NP 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 686-2565

Reviews and Comments

Nurse Practitioner Nurses in Port Jefferson, NY

Ms. Janice Fleischman Eaton, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23 Old Post Road East, Port Jefferson, NY 11777 Phone: 631-928-7999
Joanne F Angstadt, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Belle Terre Road, Port Jefferson, NY 11733 Phone: 631-675-2462
Kenneth William Nissen, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-476-2786
Joan L Nathan, A.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 N Country Rd, Port Jefferson, NY 11777 Phone: 631-928-4586
Genine Schwinge, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7653
Laura Elizabeth Vinci, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320

Katlyn Ann Conville, NP - Medicare Nurse Practitioner in Port Jefferson, NY