Nicole Theresa Kennedy-pauls, MD in Brooklyn, NY

Nicole Theresa Kennedy-pauls, MD is a medicare enrolled "Emergency Medicine" physician in Brooklyn, New York. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice The Bortolazzo Group, Llc and her current practice location is 150 55th St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 630-7000.

Nicole Theresa Kennedy-pauls is licensed to practice in New York (license number 268997) 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 1366763732.

Contact Information

	Nicole Theresa Kennedy-pauls, MD
	150 55th St, Brooklyn, NY 11220-2508
	(718) 630-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicole Theresa Kennedy-pauls
Gender	Female
Speciality	Emergency Medicine
Experience	12 Years
Location	150 55th St, Brooklyn, 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:

Nicole Theresa Kennedy-pauls graduated from medical school in 2013

NPI Data:

NPI Number: 1366763732
Provider Enumeration Date: 06/18/2010
Last Update Date: 09/11/2017

Medicare PECOS Information:

PECOS PAC ID: 0749423382
Enrollment ID: I20181102002263

Medical Identifiers

Medical identifiers for Nicole Theresa Kennedy-pauls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366763732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	268997 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Kennestone Hospital	Marietta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Bortolazzo Group, Llc	3476554320	84

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. Nicole Theresa Kennedy-pauls allows following entities to bill medicare on her behalf.

Entity Name	The Bortolazzo Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015

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. Nicole Theresa Kennedy-pauls 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
Nicole Theresa Kennedy-pauls, MD 100 W 26th St, Apt. 17a, New York, NY 10001-6840 Ph: () -	Nicole Theresa Kennedy-pauls, MD 150 55th St, Brooklyn, NY 11220-2508 Ph: (718) 630-7000

Reviews and Comments

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Nicole Theresa Kennedy-pauls, MD - Medicare Emergency Medicine in Brooklyn, NY