Karin Connelly, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lake Katrine, New York. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
1 Commons Dr, Lake Katrine, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 750-0476.
Karin Connelly is licensed to practice in New York (license number 012496) 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 1356393052.
Healthcare Provider's Profile
| Full Name | Karin Connelly |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 30 Years |
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| Location | 1 Commons Dr, Lake Katrine, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Karin Connelly graduated from medical school in 1994
NPI Data:
- NPI Number: 1356393052
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 12/30/2013
Medicare PECOS Information:
- PECOS PAC ID: 5294757126
- Enrollment ID: I20060530000231
Medical Identifiers
Medical identifiers for Karin Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356393052 | NPI | - | NPPES |
| 00354316 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 012496 (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. Karin Connelly allows following entities to bill medicare on her behalf.
| Entity Name | Karin Connelly Phd Psychology Coaching Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265854996
PECOS PAC ID: 0749411874
Enrollment ID: O20140402001420 |
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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. Karin Connelly 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 |
|---|
Karin Connelly, PHD
1 Commons Dr,
Lake Katrine, NY 12449-5149
Ph: (845) 750-0476 | Karin Connelly, PHD
1 Commons Dr,
Lake Katrine, NY 12449-5149
Ph: (845) 750-0476 |
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