Desiree Kinnison, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Syracuse, New York. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Suny Health Science Center At Syracuse and her current practice location is
90 Presidential Plaza, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 464-9335.
Desiree Kinnison is licensed to practice in New York (license number 348082) 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 1760091029.
Physician's Profile
| Full Name | Desiree Kinnison |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 90 Presidential Plaza, Syracuse, 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:
- Desiree Kinnison graduated from medical school in 2021
NPI Data:
- NPI Number: 1760091029
- Provider Enumeration Date: 07/23/2020
- Last Update Date: 12/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517355217
- Enrollment ID: I20211029001581
Medical Identifiers
Medical identifiers for Desiree Kinnison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760091029 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 348082 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 348082 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 348082 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Suny Health Science Center At Syracuse | 7214833086 | 170 |
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. Desiree Kinnison allows following entities to bill medicare on her behalf.
| Entity Name | Suny Health Science Center At Syracuse |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184974529
PECOS PAC ID: 7214833086
Enrollment ID: O20031211000420 |
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| Entity Name | St Josephs Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744 |
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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. Desiree Kinnison 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 |
|---|
Desiree Kinnison, NP
251 Salina Meadows Parkway, Suite 100,
Syracuse, NY 13212
Ph: (315) 464-2000 | Desiree Kinnison, NP
90 Presidential Plaza,
Syracuse, NY 13202
Ph: (315) 464-9335 |
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